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Linitis Plastica Carcinoma Making Rapid Progress in a Short Period B. Shinno 1 , M. Mai 2 , K. Watanabe 3 1Shinno Hospital 2Department of Surgery, Cancer Research Institute Hospital, Kanazawa University 3Department of Pathology, Kanazawa National Hospital pp.1263-1266
Published Date 1980/12/25
DOI https://doi.org/10.11477/mf.1403112684
  • Abstract
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 We experienced a case with linitis plastica carcinoma of the stomach making rapid progress only in five months. A 51 year-old man visited our hospital with complaints of epigastric fullness and loss of appetite of three months' duration. First examination of roentgenography (October 1974) showed a shallow depression of irregular shape at the lower body of the lesser curvature, associated with somewhat edematous and misty appearance around the neighboring mucosal surface of body. Endoscopic view at that time revealed a Ⅱc-like depressed area accompanied by multiple eroded spots and edematous unevenness around the surrounding fundic mucosa. The patient was treated for gastric ulcer with medications and with temporary improvement. Three months later roentgenography showed enormously enlarged and tortuous folds localized in mid-body and we decided to follow him up with a suspicion of malignancy. Soon he was lost to follow up.

 When he re-visited the hospital again after two months, his complaints grew worse than before and roentgenography revealed a shape of leather bottle which made it easy for us to interpret it as a typical linitis plastica carcinoma. In February 1975 total gastrectomy was done, and gross appearance showed the generalized thickened and hypertrophic rugae in the entire fundic gland area, which was irregular, rugged and somewhat edematous.

 Besides, a Ⅱc-like cancerous exposure was seen at the lesser curvature of lower body which was thought to be the primary site. Histologically poorly differentiated adenocarcinoma involved the entire stomach, associated with marked lymphatic permeation. Unfortunately the patient died of extensive peritoneal dissemination.

 We are always facing the difficulties in early diagnosis of linitis plastica carcinoma. Retrospective study of the workup in this case confirms the following facts. In the first place the formation of leather bottle stomach does not necessitate long term. Our case showed a rapid progress from Ⅱc-like cancerous lesion to linitis plastica during a short period of five months. In the second place first roentgenographic and endoscopic picture showed some abnormalities suggestive of earlier signs of linitis plastica such as edematous mucosa with unevenness, sporadic eroded mucosa with oozing in addition to a Ⅱc-like depressed lesion.


Copyright © 1980, 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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