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Borrmann 4 Type Carcinoma of the Stomach with Conspicuous Giant Fold, Report of a Case M. Kawaguchi 1 , H. Tsuda 1 , N. Sekine 1 , T. Saito 1 , S. Ashizawa 1 1Department of Internal Medicine, Tokyo Medical College pp.1293-1296
Published Date 1980/12/25
DOI https://doi.org/10.11477/mf.1403112692
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 This is a case of Borrmann 4 type carcinoma of the stomach in which a giant fold, redness and erosion were conspicuous and an ulcerative lesion, presumably the primary lesion, had been overlooked in the first endoscopic examination.

 The patient was a 64 year-old man who had noted epigastric pain at fasting time since around September 1977 and visited a nearby clinic for examination. A giant fold on the greater curvature of the gastric corpus was demonstrated by x-ray examination of the stomach there. The first endoscopy performed in November 1977 disclosed a giant fold localized relatively well to the greater curvature of the middle corpus. The endoscopic picture taken in the second examination in January 1978 showed the giant fold as well as redness and erosion on the anterior wall of the lower corpus and the posterior wall of the middle corpus. Biopsy of the tissue from the giant fold was negative. In the third endoscopy is September 1978, the giant fold of the corpus became more conspicuous, while a white coat appeared in the center of the reddened area on the anterior wall of the lower corpus, and an ulcerative lesion developed on the posterior wall of the middle corpus. As signet-ring cell carcinoma was demonstrated by biopsy of the tissues taken from the margins of the ulcerative lesion on the posterior wall of the middle corpus and from the reddened, eroded area of the anterior wall of the lower corpus, the lesion was diagnosed as Borrmann 4 type carcinoma of the stomach, and surgery was performed.

 Histopathological examination confirmed it to be Borrmann 4 type carcinoma of the stomach with the ulcerative change on the posterior wall of the corpus as the primary lesion and spreading diffusely over the corpus.


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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