Superficial Spreading Elevated Early Gastric Cancer, a Case Report R. Hayakawa 1 , H. Hidano 1 , M. Kajikawa 1 , S. Nakazawa 2 1Aichi Prefectural Center of Healh Care 2Nagoya University School of Medicine pp.453-458
Published Date 1977/4/25
DOI https://doi.org/10.11477/mf.1403112579
  • Abstract
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 Superficial spreading type of early gastric cancer mostly belongs to the IIc subtype and widely elevated early cancer is relatively rare. Of cases of superficial spreading type of early gastric cancer measuring more than six cm in the largest diameter encountered in the Second Department of Internal Medicine, College of Medicine, Nagoya University, 10 cases showed elevated lesions as the chief finding of early cancer. Grossly they were divided into those with ulcer and those without any trace of ulcer. The latter was very few in number. One of these cases is reported here. Before the operation we made a diagnosis of early gastric cancer wtih protruded lesions accompanied with findings of IIc+IIb, but the results of surgical correction showed that a part of the elevated changes invaded deeply in the vertical direction and most of lymphatic vessels in the submucosal layer beneath the cancer nest were occupied by cancer tissue.

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