Stomach and Intestine(Tokyo) Volume 9, Issue 1 (January 1974)

Biopsical Diagnosis of Protruding Lesion of the Stomach and Duodenum T. Taneda 1 , M. Ishii 1 , B. Chou 1 , S. Tanaka 2 12nd Dept. of Internal Medicine, Faculty of Medicine, Kagoshima University pp.21-27
Published Date 1974/1/25
  • Abstract
  • Look Inside

 Some of the present-day problems of gastric biopsy have been discussed on the basis of illustrative cases encountered in our Department.

 Direct vision biopsy has now become one of the routine diagnostic procedures in gastric lesion. Technically it has few problems, and lesions in the duodenum and even small intestine belong to the domain of direct vision biopsy. As for cancer lesions of the stomach,Biopsical diagnosis to type Ⅰ or Ⅱa early cancer now boasts of far better positive results, at times nearing 100 per cent, as compared with lesions showing limited lateral spread within the mucosa such as early cancer of type Ⅲ, Ⅲ+Ⅱc or advanced Borrmann type Ⅱ cancer. Considered as a whole, diagnostic procedures of early cancer of the stomach are definitely established, but qualitative diagnosis of small protruding lesion is as yet fairly difficult. Whether it be benign or malignant can only be determined by biopsy. For all that, it is still almost of no avail in the diagnosis of non-epithelial tumor such as submucosal one. This is an important problem to be tackled in future.

Copyright © 1974, Igaku-Shoin Ltd. All rights reserved.


9巻1号 (1974年1月)
電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院