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
  • Abstract
  • Look Inside
  • Cited by

 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.


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