雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Ⅱc-like Advanced Carcinoma with Deep Invasion at the Ulcer Scar S. Nakazawa 1 1The Second Department of Internal Medicine, Nagoya University School of Medicine pp.533-538
Published Date 1982/5/25
DOI https://doi.org/10.11477/mf.1403108902
  • Abstract
  • Look Inside

 A 33-year-old woman with chief complaint of epigastralgia was admitted to our hospital. She was diagnosed as Ⅱc type early gastric cancer with submucosal invasion by means of x-ray and endoscopic examinations. But pathological features of the resected stomach showed poorly differentiated adenocarcinoma which invaded focally the serosal surface at the ulcer scar. Such as this, it is difficult to judge the deep invasion of carcinoma with ulcer scar accurately. Accordingly, the correlation between existence of ulcer scar in carcinomas and invasion of carcinoma was investigated in this study.

 We investigated 200 cases of the Ⅱc-like advanced type carcinomas. The cases with ulcer scar were observed in 45 cases of 100 sm-carcinomas, in 30 cases of 50 m-carcinomas and in 28 cases of 50 Ⅱc-like advanced type carcinomas. The cases with submucosal invasion were classified into three types, i,e, A type: carcinoma cells are focally found in the upper part of the submucosal layer, B1 type: they are scantly distributed in the whole submucosal layer, B2 type: they densely occupy the whole submucosal layer.

 In 15 sm-carcinomas and 8 Ⅱc-like advanced type carcinomas, deep invasion was recognized only at the ulcer scar. Out of these cases, an accurate invasion could be diagnosed only in the cases of B2 type. But it was difficult to make accurate diagnosis in the cases of A type and B1 type as well as in the cases of Ⅱc-like advanced type carcinoma which cells scantly exist in the proper muscle layer such as the case presented in this study.

 In diagnosis of gastric carcinoma with ulcer scar, we must be careful of the deep invasion particularly at the ulcer scar.


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

関連文献

もっと見る

文献を共有