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Early Cancer in Fundic Gland Area Having Difficulty in Estimation of Invasion Depth, Report of a Case H. Kishimoto 1 1Department of Surgery, Yachiyo Hospital pp.111-116
Published Date 1982/1/25
DOI https://doi.org/10.11477/mf.1403108707
  • Abstract
  • Look Inside

 We have difficulty in the estimation of invasion depth in early cancer of the fundic gland area and many cases of cancer in this area invade beneath the submucosal layer as cancer of “linitis plastica” type.

 In our case cancer is at the major curvature side in the upper part of the body.

 In roentgenography we were able to depict the folds at the posterior wall site relatively completely by double contrast figure in supine position, but depiction of folds at the anterior wall site was incomplete. We estimated the invasion depth as deeper than mucosal or submucosal layer invasion due to high degree of fibrosis in the submucosal layer.

 To depict folds at the anterior wall site more clearly we think that the double contrast figure in the prone position is necessary.

 The fiberoptic gastrocamera depicted the folds relatively well, covering the changes by fibrosis, so that we were able to estimate the invasion depth more faithfully.

 We have re-recognized the importance in the comprehension of the nature of folds themselves.


Copyright © 1982, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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