A Comparative Study between Histopathological and Radiological Findings of Depressed Early Carcinoma of the Stomach Y. Baba 1 , K. Takagi 2 , K. Nakamura 3 , K. Kumakura 4 1Cancer Institute Hospital 4Dept. of Diagnostic Radiology, Keio University pp.37-49
Published Date 1975/1/25
DOI https://doi.org/10.11477/mf.1403112091
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 A comparative study was made on the characteristics between histological type, and macroscopical and radiological finding of 220 cases of depressed early carcinoma which had been experienced in the period of 8 years from 1965 to 1972 at the Cancer Institute Hospital, Tokyo. The following result was obtained: (1) In the most cases of depressed early carninoma, the histological type is related closely to the characteristic macroscopical finding and the double contrast image of them. Generally most undifferentiated carcinomas show typical macroscopical and radiological sign of Ⅱc-lesion that is recognizable easily. On the other hand, in most cases of differentiated carcinema their macroscopical and radiological sign a is not typical of Ⅱc-lesion but simulating Ⅱ b-like lesion without distinct outline, unless they have raised margin. (2) It may depend on the mode of growth and development as well as the histological type of carcinoma whether surface of a Ⅱc-lesion or its outline is recognized easily or not. An outline of a Ⅱc-lesion can not be traced, especially when there is histological and macroscopical similarity between cancerous lesion and adjacent noncancerous mucosa. Histologically, there also exists some morphologica similarity between the differentiated carcinoma and the normal gastric mucosa.

 Thus, macroscopical and histological characteristics should be taken into consideration for the radiological diagnosis of depressed early carcinoma of the stomach.

Copyright © 1975, Igaku-Shoin Ltd. All rights reserved.


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