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

A Case of Early Gastric Cancer in a 21-Year-Old Male Y. Takeuchi 1 , R. Torisu 1 1Center of Adult Diseases, Kagawa pp.892-893
Published Date 1972/7/25
DOI https://doi.org/10.11477/mf.1403109187
  • Abstract

 A 21 years old young man, compalining of abnormal sensation in the abdomen since two weeks before, consulted our clinic on June 23, 1971. Both family and past histories were not noteworthy. Laboratory examinations were within normal limits except for hyperacidity of the gastric juice.

 X-ray study of the stomach revealed an irregularity of the lesser curvature along the gastric angle in the upright barium-filled picture. Irregularity of the same site along with a shallow depression, extending to both walls, was also seen in the double contrast picture. Compression revealed there a barium fleck of irregular margins as well as changes in the converging mucosal folds.

 An uneven, broad and shallow depression was revealed by endoscopy, extending from the anterior to posterior wall. A white coat, suggesting of yet deeper excavation, was seen on the anterior wall. Mucosal folds converging to the depression from the anterior wall side showed fusion and abrupt cessation. It was diagnosed by gastric biopsy as carcinoma simplex mucocellulare. The operation was performed on July 14, 1971.

 Resected stomach showed a depressed lesion around the angle extending to both walls. It measured 53×15 mm, and its margins were irregular. The floor of the shallow depression was uneven and irregular, with another deeper depression, measuring 10×5 mm, in the center.

 It was confired by histology as carcinoma simplex mucocellulare, localized within the mucosa, its area coinciding to the shallow depression. Ul-Ⅱ ulcer formation was seen in the deeper depression with cell infiltration and fibrosis in the submucosal layer, but it was free from cancer invasion. Metastasis was found only in the sinus of a right cardiac lymph node.


Copyright © 1972, 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