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A Case of Early Gastric Reticulum-cell Sarcoma: follow-up study with x-ray and gastroendoscope during the early stage T. Takeuchi 1 , M. Ito 1 , H. Murate 1 , A. Tanabe 1 , H. Honda 2 , T. Hotta 2 1The 1st Department of Internal Medicine 2The 2nd Department of Surgery, Nagoya City University pp.211-219
Published Date 1971/2/25
DOI https://doi.org/10.11477/mf.1403111466
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 A case of carly gastric reticulum-cell sarcoma was followed up for four months with x-ray and endoscopic examinations.

 A 39-year-old man complaining of epigastralgia was found to harbor four lesions in the stomach lying scattered from the lower part of the corpus down to the prepyloric region of the posterior wall along the major axis.

 The lesions were shown definitely by x-ray at the time of ulcer formation. They were noticed by x-ray before the operation as multiple lesions having peculiar-shaped, irreglar ulcer shadows with unusual gathering folds and localized embankment. This roentgenological findings were suppoesed to be characteristic features of a type of early gastric reticulum-cell sarcoma.

 Growth of tumors with ulceration was observed endoscopically as well. Final examination before the operation revealed these lesions as protruded ones with ulcers. Margins of the lesions were elevated gradually from the surrounding mucosa. The protrusions, of rugged and discolored surface, had no bridging folds over them. The bottoms of ulcers were also rugged and covered with white coat. Endoscopic observations as mentioned above and developlment of ulceration in the course of illness led the authors to suspect that these might be characteristic features of a type of early gastric reticulum-cell sarcoma. Pathologically, depths of four ulcerative lesions were all Ul-Ⅱ, and reticulum-cell sarcomas were localized in the edge of each ulcer, invading only the adjacent submucosal layer. Microscopically, each lesion was independent from one another, and regional lymph nodes were not involved, nor was there any swelling of superficial lymph nodes. No abnormal findings were seen either in lymphangiogram, or biopsy specimens from scalene node and the liver as well as in myelogram.

 From these findings, this case was diagnosed as primary early and localized gastric reticulum-cell sarcoma with quadricentric development.


Copyright © 1971, 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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