A CASE OF EARLY GASTRIC CARCINOMA IN THE ANTRUM Hiroshi Matsuhashi 1 1The Seisho Gastroenterological Group pp.341-345
Published Date 1969/3/25
DOI https://doi.org/10.11477/mf.1403110984
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 A 53-year-old male suffering from occasional abdominal pain since three years ago consulted several clinics, where a diagnosis of cholecystitis was made because his gallbladder had not been visualized at all in cholecystograms. No abnormalities of the stomach were pointed out.

 The authors had an opportunity to examine the so-called negative X-ray films of the stomach previously taken, and found a deformity of the antrum. The lesion was then scrutinized by repeated X-ray and endoscopic examinations, to reach a diagnosis of early gastric carcinoma of the Type Ⅱc or Ⅱc+Ⅱa.

 On resection, the lesion proved to be early gastric carcinoma of the Type Ⅱc, 10×10 mm in size, located on the greater curvature 3.5cm away from the pyloric ring. Serial sectioning revealed carcinomatous infiltration limited to the mucosa and the submucosa. No lymphnode or distant metastasis was noted. The details of gross specimen were compared with X-ray and endoscopic findings. The patient also had cholelithiasis, evidently accounting for his symptoms. Gastric cancer was incidently found in this case.

 It has been well documented that even a small early gastric carcinoma as this case cause abnormality in the upright filling racliogram. The importance of upright filling, therefore, can not be overemphasized. For qualitative diagnosis, however, additional radiograms with different techniques such as double contrast study and compression method should be combined. Endoscopic examination seems also mandatory particularly for small lesions.

 It should be added that overlooking of lesions has been minimized in the authors' practice by means of group discussions.

Copyright © 1969, Igaku-Shoin Ltd. All rights reserved.


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