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Early Gastric Cancer, Type Ⅱc (sm), Misdiagnosed as Advanced Cancer Simulating Type Ⅱc, Whose Patient Died of Cancerous Recurrence Three Years After Operation, Report of a Case Y. Baba 1 1Department of Internal Medicine, Cancer Irastitute Hospital pp.169-174
Published Date 1982/2/25
DOI https://doi.org/10.11477/mf.1403108722
  • Abstract
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 A 46-year-old man suffering from epigastralgy when hungry came to our hospital to undergo an operation.

 In the x-ray findings a defined and deeper depressed lesion surrounded by mucosal elevation was observed accompanied with converging mucosal folds in a shallow depression. Diagnosis as advanced cancer simulating type Ⅱc was made.

 Endoscopically, this lesion was finally diagnosed as advanced cancer similar to type Ⅱc+Ⅲ (pm), and the surrounding mucosa was edematous.

 An operation (R3) performed on October 25, 1972 resulted in only relative curative resection because cancerous metastasis to lymph node (N3) was found.

 The lesion measuring 6.0×5.5 cm was proved to be type Ⅱc (sm) accompanied with Ul-Ⅲs and cancerous invasion to intramural lymph duct and vessel. The part of sm infiltration measured 2.5×1.0 cm.

 Postoperative prognosis depends upon the dimension of sm infiltration, the degree of invasion to submucosal lymph vessels and histological type of cancer.


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

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

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