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A Case of Double Cancers of the Stomach Demonstrated by Biopsy M. Mai 1 , K. Watanabe 2 1Dept. of Surgery, National Kanazawa Hospital 2Dept. of Pathology, National Kanazawa Hospital pp.64-68
Published Date 1974/1/25
DOI https://doi.org/10.11477/mf.1403111732
  • Abstract
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 Although gastric biopsy has greatly contributed to the diagnosis of gastric lesions, it should always be performed after careful interpretation of findings obtained by roentgenography and endoscopy. It must not be done too easily. The role of gastric biopsy and its problems are discussed here based on a case of double cancers of the stomach recently encountered that was confirmed as such by biopsy.

 An ulcer on the posterior wall of the body in a man 69 years of age was followed up for as long as one year and a half. In the interim cancer was finally demonstrated after the fourth biopsy. During the follow-up period we had also noticed another Ⅱc lesion in the pyloric antrum which was, retrospectively studied, seen as an x-ray finding (suggesting an abnormality near the pylorus) that should have been interpreted more cautiously. Biopsy during the follow-up of ulcer must always be done under careful interpretation of x-ray and endoscopy findings. It should be repeated whenever occasion requires. The fact must always be taken into account that recurrent or intractable ulcer may show “malignant”. Cases in which biopsy was negative for cancer should be treated very carefully. Whenever slightest cause for suspicion of cancer arises in findings of x-ray and endoscopy, active rebiopsy is strongly recommended.


Copyright © 1974, 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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