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Japanese

A CASE OF ATROPHIC LYMPHOBLASMATOID GASTRITIS ON THE GREATER CURVATURE CLOSELY RESEMBLING EARLY ULCER-SCAR CANCER Tadahiro Sato 1 1Soai Hospital pp.1121-1125
Published Date 1969/9/25
DOI https://doi.org/10.11477/mf.1403111040
  • Abstract
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 A 66-year-old housewife, having hunger pain as her chief complaint, was diagnosed as harboring a benign ulcer on the posterior wall of the corpus as well as a Ⅱc or Ⅱa+Ⅱc early cancer on the greater curvature opposite the gastric angle. The lesions in the resecterl stomach, macroscopically diagnosed as a benign ulcer and a Ⅱa+Ⅱc early cancer in the greater curvature side, were later histologically confirmed as of reactive lymphoreticular hyperplasia.

 Retrospective study of these lesions, consisting of an Ul-ulcer scar and erosions in addition to notable hyperplasia of lymphoid tissues in the lamina propria and in the submucosal layer, seem to afford a better understanding of the facts that depression visualized in the x-ray findings is more shallow as compared with that of Ⅱc, with less irregular marginal contour, together with the facts that there is rigidity in a relatively wide area with unevenness in the center of the depression as well as in its margins. It is of interest to note that, in both endoscopic findings and macroscopic observation of the resected specimen, there is no trace of engorgement, discoloration or bleeding spots in the depression, and the surface of the mucosa, looking almost the same as that of normal stomach, shows no distinct abnormal mucosal folds such as those with their tips looking as if worm-eaten. Protuberance in the surrounding area, suggesting of Ⅱa+Ⅱc, is also easier to understand when compared with its histological findings. These facts are of great account in the differential diagnosis of such lesions.

 This case would have been correctly diagnosed if gastric biopsy had been performed. Its importance has been keenly felt. This case is presented here on account of difliculty in the discrimination of a certain varieties of gastric lesions.


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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