Japanese

Diagnostic Ability of Screening X-ray Examination to Pickup Type IIc Early Gastric Cancers in the Fundic Gland Area: Early Detection of Linitis Plastica Type Gastric Cancers Hiroto Nishimata 1 , Shintaro Tsukasa 1 , Yoshito Nishimata 1 , Toshiaki Misono 1 , Tomoyuki Sameshima 1 1The Second Department of Internal Medicine, Faculty of Medicine, Kagoshima University pp.1027-1036
Published Date 1987/9/25
DOI https://doi.org/10.11477/mf.1403113001
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 1. The location of 125 depressed type gastric cancers (type Ⅱc early gastric cancers; 97 cases, Ⅱc-like advanced gastric cancers; 28 cases) in fundic gland area and diagnostic ability of screening x-ray examination to pickup those lesions:

 1) In all, 113 single gastric cancers were located. 43 (38% of the total) of these were found in the posterior wall and lesser curvature of the gastric body. 32 (28% of the total) were found in the upper portion of the stomach. 19 (17% of total) were found in the anterior wall of the gastric body. Another 19 (17%) were found in the greater curvature of the gastric body. Almost all of those lesions were picked up by screening x-ray examination. Two lesions in the greater curvature of the gastric body were detected by endoscopy (Table 1, Fig. 2).

 2) Twelve associated lesions of multiple gastric cancers were not detected by screening x-ray examination.

 2. Location of the lesions and position in taking the radiograph:  Lesions in the anterior wall of the gastric body were demonstrated through supine double contrast radiograph, strong right anterior oblique double contrast radiograph, and compression radiograph. Lesions in the greater curvature of the gastric body were demonstrated by strong right anterior oblique double contrast radiograph. In the upper portion of the stomach lesions were demonstrated through prone left anterior oblique radiograph in semi-upright position, supine left anterior oblique radiograph in semi-upright position, supine radiograph in upright position, and strong right anterior oblique double contrast radiograph.

 3. Primary lesions of Linitis Plastica type gastric cancers (22 cases) were located in the fundic gland area. 9 cases (40%) were in the greater curvature of the gastric body, and 9 cases (40%) were in the upper portion of the stomach (Table 1).

 4. Five lesions invading deeper than the submucosa in the fundic gland area (13 cases, Ul(-)) were in the greater curvature of the gastric body (38%), and five others were in the anterior wall of the gastric body (38%) (Table 1).

 5. Almost all type-Ⅱc gastric cancers in the fundic gland area were 1.1~2.0cm in diameter (Table 2).


Copyright © 1987, 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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