Scirrhous Cancer of the Gastric Corpus in Relatively Early Phase, Report of a Case Syozo Okamura 1 , Yoshiki Yamamoto 1 , Toshio Asai 1 , Taketoshi Funakawa 1 1Department of Internal Medicine, Toyohashi City Hospital pp.799-804
Published Date 1986/7/25
DOI https://doi.org/10.11477/mf.1403110364
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 A 59 year-old woman, who had been treated for diabetes mellitus since four years before, felt a floating sensation due to anemia, and was admitted to our hospital on October 1,1984. There was no body weight loss. Laboratory data showed no abnormality except anemia (RBC; 229×104/mm3,Hb; 6.7 g/dl).

 X-ray and endoscopic examination (Figs. 1-4) revealed a small ulcerative lesion, simulating type Ⅱc early gastric cancer, in the anterior wall of the lower corpus. Thickened and straightened mucosal folds were recognized on the oral side of the depressed lesion, and tortuous folds were shown in the greater curvature. There was a slight disturbance of the distensibility of the gastric wall where the above folds were seen. Mucosal folds in the lesser curvature converged to the depressed lesion, but other folds ran in parallel without convergence.

 Pathological findings were summarized as signet-ring cell cancer (Fig.7b), ssr,1y2, v0, n1(+), and n1 (-). The primary ulcerative lesion, whose size was 2 cm at its largest diameter, and deepest part was Ul-Ⅱ histologically (Fig.7a), and it was within the fundic gland area. Cancer cells had infiltrated into the submucosal and further deep layers with a lot of fibrous tissue (Fig.7c), and had extended from the lower corpus to the fundus in the anterior wall (14×6.5 cm) (Fig.5,6). Therefore, the diagnosis of this case was scirrhous cancer of the gastric corpus (linitis plastica) in a relatively early phase.

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