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Type Ⅲ Early Gastric Cancer Detected by Biopsy, a Case Report: Importance of biopsy even for gastric ulcer with benign appearance T. Matsumoto 1 1Matsumoto Gastroenterological Hospital pp.1293-1296
Published Date 1975/10/25
DOI https://doi.org/10.11477/mf.1403112213
  • Abstract
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 A 40-year-old man had been suffering from epigastric pain for several years, especially when he had been hungry. Two years ago he was treated for 3 months under a diagnosis of benign gastric ulcer. He felt much better then. Recently, however, he felt the same kind of epigastric pain, so that he was examined both roentgenologically and endoscopically. At first their results led to a diagnosis of a benign gastric ulcer at the angulus, but later the ulcer was confirmed as type Ⅲ early cancer because one of seven biopsied specimens taken from the surrounding areas of the ulcer finally revealed adenocarcinoma mucocelleclare. Histologic study of the resected specimens also disclosed adenocarcinoma mucocellulare at a small spot on the border of the ulcer, which was Ul-Ⅳ in depth. As many similarities of patterns between benign ulcer and type Ⅲ early cancer make it not always easy to differentiate between the two, it seems very important clinically to apply gastric biopsy even to ulcer with benign appearance.


Copyright © 1975, 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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