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Scirrhous Carcinoma of the Stomach, Which Was Supposed to Have the Cancerous Lesion in the Stomach Five Years and Six Months Before, Report of a Case M. Sasagawa 1 , T. Yamada 1 , H. Kitaoka 2 , M. Itabashi 3 , T. Hirota 3 , H. Ichikawa 4 1Department of Radiology, National Cancer Center Hospital 2Depertment of Surgery, National Cancer Center Hospital 3Department of Pathology, National Cancer Center Hospital pp.1203-1207
Published Date 1980/11/25
DOI https://doi.org/10.11477/mf.1403112766
  • Abstract
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 Among the retrospective study series of scirrhous carcinoma of the stomach, we have presented one case in this paper. The initial radiological examination of this patient at National Cancer Center Hospital revealed diffuse scirrhous carcinoma extending from the angle to the lower body of the stomach. Total gastrectomy was performed. Macroscopic and microscopic findings of the resected specimen were of typical scirrhous carcinoma. X-ray films which were taken 5 years and 6 months before at another hospital could be reviewed by us. Those films showed vethe shallow, irregular shaped depression with conrging folds on the posterior wall of the angle. We could diagnose the lesion as the early gastric cancer, type Ⅱc.

 From this fact, the patient was supposed to have the cancerous lesion in the stomach 5 years before. We have been making a retrospective study of x-ray findings of many cases with scirrhous carcinoma and now we have some conclusions as follows:

 1) Some cases with scirrhous carcinoma show long course up to 5 to 6y ears.

 2) Shallow cancerous erosion like Ⅱc is found at the early phase of some scirrhous carcinoma cases.

 3) In not a few cases, scirrhous carcinoma undoubtedly originate from the angle to the antrum.

 The case presented in this paper is one typical case among those with the above characteristic criteria.


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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