雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

A Case Report of Scirrhous Cancer of the Stomach at Relatively Early Stage S. Arai 1 , T. Igarashi 1 , T. Yabuki 1 , T. Gonoi 1 1The 2nd Dept. of Int. Med., Fukushima Medical College pp.1307-1313
Published Date 1977/10/25
DOI https://doi.org/10.11477/mf.1403112513
  • Abstract
  • Look Inside

 Case : A 25-year-old female.

 Chief complaint : Sensation of fullness in the epigastrium since 2 weeks.

 Preoperative diagnosis : Scirrhous cancer on the anterior wall in the upper body of stomach.

 Date of operation : September 5, 1975.

 Postoperative diagnosis : Advanced gastric cancer of Borrmann 4 type (The size of this cancer was 62×53 mm with an invasion of ss degree depth. The histology of this cancer was differentiated adenocarcinoma scirrhous).

 Macroscopic and histological findings were summerized as follows :

 1) The size of the depressed area was as small as 7×6 mm with a surrounding elevated area of 52×36 mm in size.

 2) The invasion of the cancer cells was limited in the depressed area in the mucosal layer and was spreading in the ss region over the elevated area as wide as 62×52 mm.

 In summary, two points could be emphasized the radiographic findings of this case. One was a pattern of lateral stripes which were made by the invasion of the poorly differentiated cancer cells with connective tissue fibers. The another point was a pattern of erosion with a irregular, oozing and worm-eating figure in the elevated area which might be confused with a submucosal tumor. This figures were photographed clearly only by compression radiograph and useful for the differential diagnosis of cancer from submucosal tumor.


Copyright © 1977, Igaku-Shoin Ltd. All rights reserved.

基本情報

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

関連文献

もっと見る

文献を共有