Very Small Type Ⅱa Early Gastric Carcinoma, Report of a Case Hisao Hayakawa 1 , Hiroshi Morichika 1 , Minoru Kurihara 1 , Yoshiaki Inami 1 , Shigemitsu Shida 2 1Dept. of Internal Medicine, Juntendo University, School of Medicine 2Dept. of Surgery, Juntendo University, School of Medicine pp.69-74
Published Date 1971/1/25
DOI https://doi.org/10.11477/mf.1403111397
  • Abstract
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 A type Ⅱa mucosal carcinoma of the stomach, measuring 6×4 is reported.

 The cancerous focus was confirmed by direct vision biopsy. Punch biopsy carried out in the light of x-ray findings led the authors to correct diagnosis, although fibergastroscopic diagnosis made during the examination was benign polyp.

 For making a correct diagnosis, it is very important to show the actual shape of a lesion on radiographs and to interpret accurately x-ray findings thus obtained.

 A sequence of examinations in order of x-ray, gastrocamera, gastrocamera with fibergastrorcope and direct vision biopsy as well as cytology is of great account for getting accurate information about the nature of a lesion.

 To interpret minute unevenness in a radiolucency at x-ray and whitish exudate over a small lesion at endoscopy is of great value in the improvement of preoperative diagnosis of gastric cancer. Accurate determination of target site of biopsy is a prerequisite for correct diagnosis of gastric cancer.

 The size of the cancerous focus is 2×2 mm.

Copyright © 1971, Igaku-Shoin Ltd. All rights reserved.


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