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Ⅱb Type Early Gastric Cancer, Report of a Case S. Fukumoto 1 , Y. Kamihogi 1 , T. Ozaki 1 , K. Watanabe 1 , K. Tanaka 1 12nd Dep. of Internal Medicine, School of Medicine, Tottori Univ. pp.1331-1336
Published Date 1975/10/25
DOI https://doi.org/10.11477/mf.1403112221
  • Abstract
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 Cancer of the stomach was diagnosed in a man aged 62 by biopsy, who was subsequently examined in detail by both X-ray and endoscopy. It was a Ⅱb type early cancer at the angulus.

 In double contrast picture with small amount of barium meal and air poor distensibility of the lesser curvature was noted, while in that with sufficient amount of air and well-distended lumen, irregular granular appearance of the mucosa was depicted along with abnormal barium coating.

 Endoscopy revealed slight deformity of the angle and rugal convergency, showing discoloration as in atrophic gastritis. We were unable to cover the whole extent of abnormality, however.

 Macroscopically, the resected specimen showed a discolored area, of yellowish white color, centering on the angle. The granular appearance in this part was slightly irregular. Histologic diagnosis of this part was adenocarcinonoma mucocellulare, but macroscopically it was impossible to determine the border of cancer extension.

 Transverse sections of the histologic specimens showed in some of cancer regions slight niveau difference when examined microscopically, but grossly there was hardly any difference in mucosal height. Hypoacidity in gastric analysis and prominent intestinal metaplasia in the antral mucosa has led us to assume that the present lesion must have remained in a state of Ⅱb type until it has spread out to a relatively wide area.


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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