ONE CASE OF Ⅲ+Ⅱb TYPE EARLY GASTRIC CANCER. Saburo Nakazawa 1 1Department of Internal Medicine, School of Medicine, Nagoya University. pp.989-992
Published Date 1968/7/25
DOI https://doi.org/10.11477/mf.1403110831
  • Abstract
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 It has become possible to diagnose the Ⅱc type and Ⅱa type early gastric cancer which are of more than 1 cm-2 cm spread if good X-ray photograph is taken and strict inspection of this photograph is made. However it is still left to be solved to diagnose superficial gastric cancer less than 1 cm and the Ⅱb type gastric cancer. The observation of the ulcer at angulus and ulcer like change to the greater curvature on the opposite side was made for the period of 2 years and 9 months. Finally cancertissue was proved by biopsy. The diagnosis of Ⅲ+Ⅱb) type early gastric cancer was made by referring to the findings by X-ray. Even if the diagnosis of gastric cancer has been made before hand, and even by taking many photographs, it is very difficult to make it sure only by X-ray ray examination. It is necessary to undertake biopsy or cytological examination besides X-ray examination. X-ray examination is the routine examination undertaken for gastric disease, but at the same time it is an exact and final exam. from the viewpoint that it can obtain the same result as an operated specimen. The operated specimen was and 2×2.5cm in its spread. X-ray photograph showed a shallow niche with an amoeba like shadow around it at greater curvature. This shadowy part was recognized as an area gastricae different from normal area gastricae and had sligh unevenness and irregularity. That is why the case was doubted as being cancer.

Copyright © 1968, Igaku-Shoin Ltd. All rights reserved.


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