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Scirrhous Carcinoma of the Stomach Revealing Multiple Ulcers for Two Years and Eight Months M. Furusawa 1 , H. Yoshinaga 1 , I. Hayashi 1 , M. Koga 1 , H. Kiyonari 1 1National Kyushu Cancer Center pp.1179-1182
Published Date 1980/11/25
DOI https://doi.org/10.11477/mf.1403112761
  • Abstract
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 A 52 year-old man was first admitted to the hospital because of acute hematemesis on June 11, 1974. X-ray examination of upper G. I. tract performed the next day showed a small niche on the posterior wall of the gastric corpus (Fig. 1, 2). On June 14, gastroendoscopy was performed to reveal an ulcerative lesion on the anterior wall and two ulcerative lesions on the posterior wall of the corpus (Fig. 3). Monthly repeated x-ray examinations and gastroendoscopy showed a healing ulcer on the posterior wall of the corpus (Fig. 4, 5). The patient was discharged on July 7, 1974. X-ray examinations performed on November. 1974 and September, 1975 showed n o abnormal findings.

 X-ray examination performed on February 18, 1977 revealed the finding of a leather bottle stomach (Fig. 6) and gastroendoscopy showed findings of scirrhus (Fig. 7). Repeated endoscopic gastric biopsy showed findings of Group IV. The patient underwent total gastrectomy on May 6, 1977 (Fig. 8). Pathological examination of resected stomach showed the lesion to be mainly a well-differentiated tubular adenocarcinoma which partly shows a scirrhous pattern with fibrosis in the deeper tissue (Fig. 9). It was infiltrating into serosa focally. Peritoneal dissemination in Douglas' cavity was noted. Regional lymph node metastasis (n1) were found. The patient survived for 17 months after surgery by anticancer chemotherapy. Retrospective study of previous x-ray findings suggested possibility of carcinoma (Fig. 2, 4). Although these lesions seemed to be primarily carcinoma, it had never shown any significant alteration for a long term. It was interesting that although the lesion was located in the corpus and showed leather bottle shape, a scirrhus, the histologic finding showed well-differentiated type.


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

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