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A Study of the Clinical Course of Linitis Plastica Type Cancer of the Stomach: Comparison between the clinical course and the development curve of gastric cancer N. Sugiyama 1 , Y. Baba 1 , K. Takagi 2 , K. Nakamura 3,4 1Department of Internal Medicine, Cancer Institute Hospital 2Department of Surgery, Cancer Institute Hospital 3Department of Pathology, Cancer Institute Hospital pp.1153-1163
Published Date 1980/11/25
DOI https://doi.org/10.11477/mf.1403112757
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 1) Clinical observations have been made on 13 cases of linitis plastica type cancer of the stomach, of which 8 cases were operated on and 5 cases were not operated on. The clinical course of these cases is studied comparing with the development curve of gastric cancer.

 2) Linitis plastica type cancer is defined as follows: no localized tumor exists as a primary lesion; the extent of submucosal spread of cancer doubles or more in size than that of intramucosal spread of cancer. It is subdivided into three: typical linitis plastica with the extent of submucosal spread of cancer exceeding more than one-fourth of the stomach in size and with the narrowing of the gastric lumen: latent linitis plastica with the extent of submucosal spread of cancer exceeding more than one-fourth of the stomach in size and without the narrowing of the gastric lumen; and pre-linitis plastica with the extent of submucosal spread not exceeding one-fourth of the stomach in size.

 3) Primary lesions are located in the body in 11 cases, and in the angle in 2 cases.

 4) Depressed lesions, i.e. the primary lesions, are delineated on the radiographs at the first x-ray examination in 8 cases, and they are not delineated in the other 5. In the former group 3 out of 8 cases present the findings of Ⅱc or Ⅱc-like cancer and 5 out of 8 cases reveal the thickening and zig-zagging of the mucosal folds surrounding a depression.

 5) Compared with Nakamura's development curve of gastric cancer, 7 out of the operated or autopsied 9 cases show approximately the same development curve. Especially the similarity is marked in 3 cases in which the development of m is measurable.

 6) Early diagnosis of linitis plastica type cancer depends on the detection of erosion (Ⅱc) in the fundic gland area on the greater curvature of the body.


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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