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A CASE OF TYPE I EARLY GASTRIC CANCER ASSOCIATED WITE GIANT RUGAE OF THE STOMACH Tsutomu Muto 1 1Niigata Chuo Hospital pp.1277-1281
Published Date 1969/10/25
DOI https://doi.org/10.11477/mf.1403111007
  • Abstract
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 The patient, a 47 year-old-man, was found in a gastric mass survey to have giant rugosity of the stomach, so that despite the lack of any subjective complaint, he had to undergo a thorough check-up of his stomach. Roentgenologically the contour of the greater curvature of the corpus was irregular associated with hypertrophic, serpentine gastric mucosal folds. Apart from this, a shadow defect with uneven marginal irregularity was observed near the lowest pole on the greater curvature. Endoscopically an uneven, protruded lesion was found in the greater curvature side of the antrum in addition to giant rugae on the greater curvature of the body. Cytology under direct view of the protruded lesion in the antrum confirmed it as belonging to Class Ⅳ. Operation was accordingly performed. Resected stomach showed that on the anterior and posterior walls across the greater curvature of the body, there was abnormal, though relatively localized, hypertrophy of the mucosal wall as well as a protruded lesion measuring 2 by 2cm on the greater curvature of the antrum. The latter, as yet remaining in the stage of early cancer, proved to be adenocarcinoma tubulare with the degree 1 of depth invasion. Marked tortuosity of the mucosal folds was observed in the area of giant rugosity with prolongation of the lining of gastric pits and cellular infiltration in the interstitium. No metastasis was found in any of lymphnodes examined.


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

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

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