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Japanese

A Comparative Study of Histopathology, Macroscopy and Endoscopy on Type Ⅱb Early Gastric Carcinoma J. Watarai 1 , T. Takeda 1 , N. Sugahara 1 , K. Takaso 1 , K. Ishioka 2 1Miyagi-ken Seijinbyo Center 2Medical Department of Professor S. Yamagata, Tohoku University School of Medicine pp.1379-1384
Published Date 1975/10/25
DOI https://doi.org/10.11477/mf.1403112263
  • Abstract
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 Based upon the histological observation of 18 cases (20 lesions) of gastric carcinomatous mucosa without niveau difference from non-carcinomatous area, gastro-endoscopical pictures and gross findings both of fresh and postfixation materials were compared retrospectively.

 Endoscopically about half of these lesions showed slight reddening, but in the other half color of the mucosa was quite similar to the non-carcinomatous mucosa. The surgical materials in fresh state showed almost the same color as in endoscopic pictures. In 83% of the endoscopic pictures, fine abnormal configuration such as irregularity was seen. In fresh specimens, surfaces of type Ⅱb early gastric cancer showed indistinctness of gastric area grooves. In fixed specimens, these same lesions appeared enlarged and exhibited irregularities in the gastric areas.

 These surface abnormalities correlated with the grade of cancerous destruction of the foveola and gastric area, and with the density of cancer cell infiltration. Most of them reflected the gastroendoscopic findings.


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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