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

Gastric Sarcoidosis Showing Favorable Course after Medical Treatment, Report of a Case S. Sato 1 1Department of Internal Medicine, Yamagata Prefectural Central Hospital pp.1089-1096
Published Date 1983/10/25
DOI https://doi.org/10.11477/mf.1403109305
  • Abstract
  • Look Inside
  • Cited by

 We report here a case of gastric sarcoid, a rare disease, which had a favorable progress with steroid treatment, with some reference to the literature. The patient, a 30-year-old man, visited our hospital with a chief complaint of pain in the frontal chest after eating. X-ray examination of the stomach showed from the lower body up to mid-body centering on the lesser curvature such change as broad ulcer and irregular rigidity of the contour and hypertrophy of the folds from the body to pylorus. Endoscopic examination also disclosed an irregular broad ulcer on the lesser curvature of the body along with edematous hypertrophy of the adjacent mucosa. Biopsy of the stomach, scalenus node and liver led us to a diagnosis of sarcoidosis. Symptoms subsided about two weeks after steroid treatment, which was discontinued 13 weeks later. Endoscopic examination after treatment showed only an ulcer scar. The patient had a favorable progress since then.

 Reports of gastric sarcoid in our country amount to 33 up to 1981. Summary of them including the present case shows that men and women were equally affected; 17 cases by men and 17 by women. The mean age was 40.5. The symptoms of the upper digestive tract accounted for 85 per cent of chief complaints. By x-ray examination of the stomach, ulcerative lesions were found in two-thirds of the patients, and poor distensibility or rigidity of the gastric wall was seen in 40 per cent. Endoscopic examination also revealed ulcerative lesions in 60 per cent of cases. In 12 patients for whom biopsy was performed a diagnosis of gastric sarcoid was obtained in 67 per cent. The final diagnosis was gastric cancer 40 per cent, gastric ulcer 29 per cent and gastric sarcoid 23 per cent. Laparotomy was performed in 29 patients. The depth of the lesions was within the mucosa in seven patients and in the serosa in 14 patients. Three patients had a favorable progress with steroid therapy.


Copyright © 1983, 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