A Case of Early Gastric Cancer Diagnosed as Concomitant Ⅱb-like Lesion E. Ochiai 1 , S. Nakazawa 1 , M. Ishiguro 1 , H. Nakano 1 , R. Hayakawa 2 , K. Kobayashi 2 , T. Kato 3 12nd Dept. of Int. Med. Nagoya Univ. Sch. of Med 2The Center for Health Care of Aichi 3Kato Clinic pp.211-216
Published Date 1974/2/25
DOI https://doi.org/10.11477/mf.1403111752
  • Abstract
  • Look Inside

 The patient was a 58-year-old man. There was nothing to contribute in family history, past history, physical examination and laboratory reports. Abnormal finding was detected in gastric mass survey. After close examination of radiograph and endoscopy, he was diagnoed as Ⅱb+Ⅱa+Ⅱc type of early gastric cancer. Gastric biopsy showed positive result. In the resected specimen, the lesion mesured 6.5×10.0 cm. The mucosa of Ⅱb had the mixed appearance of slight protrusion and flatness. In the area of Ⅱb, no remarkable unevenness was observed with surrounding normal mucosa and the area was diagnosed as concomitant Ⅱb-like lesion. It was histologically adenocarcinoma tubulare with m degree invasion as a whole, but with partial slight sm invasion in Ⅱc area. Final diagnosis was early gastric cancer of Ⅱb+Ⅱa+Ⅱc type mainly occupied by Ⅱb-like lesion.

 In this case, x-ray findings of Ⅱb-like lesion were as follows. The lesion could be visualized most clearly in double contrast radiograph. In comparison with the surrounding normal mucosa, Ⅱb-like lesion showed an image of assembly of lower protrusions than that of Ⅱa type early cancer. It looked like an assembly of the round transparent shadows, which were circumscribed by irregular ditches. The width of each ditch was varied. As a whole image of the x-ray finding, the mucosa of Ⅱb-like lesion seemed as if gastric areas were oppressed to flat.

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


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


  • 胃細網肉腫の1例 中野 浩 , 中沢 三郎 , 伊藤 順二 , 落合 英朔 , 山本 義樹 , 市川 正章 , 安部 堯 , 椙山 直敏 医学書院 胃と腸
    7巻 3号 (1972年3月)
    • 有料閲覧
  • 早期胃癌:類似Ⅱb型 杉野 吉則 , 熊倉 賢二 医学書院 胃と腸
    21巻 9号 (1986年9月)
    • 有料閲覧
  • Ⅱb型早期胃癌のX線診断 熊倉 賢二 , 丸山 雅一 , 杉山 憲義 , 高田 亮 , 落合 英朔 , 竹腰 隆男 , 植田 紘一 , 山瀬 裕彦 , 山脇 忠晴 , 高木 国夫 , 中村 恭一 医学書院 胃と腸
    7巻 1号 (1972年1月)
    • 有料閲覧
  • 表層拡大隆起型胃癌例 早川 礼介 , 肥田野 等 , 梶川 学 , 中沢 三郎 医学書院 胃と腸
    12巻 4号 (1977年4月)
    • 有料閲覧
  • 類似Ⅱb型早期胃癌の1例 村上 隼夫 , 八木 龍夫 , 岩崎 貞三 , 野木村 昭平 , 鈴木 庸之 医学書院 胃と腸
    10巻 9号 (1975年9月)
    • 有料閲覧