雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Minute Carcinoma of the Stomach Detected by Biopsy S. Kawamura 1 1Dept. of Internal Medicine, Yamaguchi University School of Medicine pp.56-59
Published Date 1974/1/25
DOI https://doi.org/10.11477/mf.1403111730
  • Abstract
  • Look Inside

 Minute carcinoma of the stomach under 1 cm in diameter reportedly accounts for 3 to 10 per cent of all early gastric cancer. Our results have shown a similar rate. Of 180 cases with 203 lesions of early gastric cancer encountered so far, accurate preoperative diagnosis was made in only 10 cases with 13 lesions.

 The case here presented concerns a 60-year-old man who had once been admitted to the hospital on account of gastric ulcer on the posterior wall of the part of the corpus. After his discharge from the hospital and while under ambulatory treatment, he was examined with biopsy and endoscopy at the Examination Center. A diagnosis was then made of a small Ⅱc subtype cancer located near the greater curvature at the level of the angle. Unfortunately, we were unable to get inte close contact with the staff of the referring hospital. Operation was performed without having previous sufficient discussion on the x-ray findings. Histologically it was at first difficult to identify the lesion, and additional sections of the resected stomach enabled us finally to demonstrate tubular adenocarcinoma. Detection was more difficult than in biopsy specimens. The diameter though supposedly not the greatest. of the minute cancer measured barely 3 mm. The present case has given us the following lessons: -

 a) Cases often dispensed with insufficient examination at the Center should be handled under a more coherent system.

 b) Small lesions 5 mm at the greatest in diameter should be given a landmark such as Chinese ink spotting before the surgical intervention.

 c) Irrespective of their color, small jagged erosions of irregular shape, located by themselves on the atrophic mucosa and surronded with slightly swollen and uneven margins, should give us ample reason to suspect malignancy there.


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

基本情報

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

関連文献

もっと見る

文献を共有