Macroscopic Classification of Advanced Carcinoma of the Stomach Hidenobu Watanabe 1 , Mituya Iwafuchi 1 , Noriko Ishihara 1 1The First Department of Pathology, Niigata University, School of Medicine pp.851-860
Published Date 1986/8/25
DOI https://doi.org/10.11477/mf.1403110264
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 In Japan, advanced carcinoma of the stomach has been classified since 1962 as Type 1, Type 2, Type 3, Type 4 (these correspond to Borrmann's classification) and Type 5 by Japanese Research Society for Gastric Cancer.

 However, assessment of macroscopic type of advanced carcinoma is now in confusion, because of lack of precise description in Borrmann's classification resulting in discrepancy in its interpretation.

 We here classified advanced carcinoma of the stomach based on the degree of elevation or depression of carcinoma and its growth pattern in the gastric wall, which were assessed by macroscopic surfaceappearance of the tumor.

 As a result, the following classification of advanced carcinoma was advanced:  1.Protuberant carcinoma   Papillonodular type   Plateau-like type   Intramural type  2.Ulcerating carcinoma   Expansive ulcerating type   Infiltrative ulcerating type   Expansivo-infiltrative ulcerating type  3.Diffusely infiltrating carcinoma   Non-circular type   Circular type   Body type   Antrum type  4.Early carcinoma-like advanced carcinoma   This type includes all depressed types.

Copyright © 1986, Igaku-Shoin Ltd. All rights reserved.


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