Endoscopic Diagnosis of Scirrhous Gastric Cancer Yohei Koyama 1 , Shigetaka Yoshinaga 1 , Seiichiro Abe 1 , Satoru Nonaka 1 , Haruhisa Suzuki 1 , Ichiro Oda 1 , Taiki Hashimoto 2 , Shigeki Sekine 2 , Yutaka Saito 1 1Endoscopy Division, National Cancer Center Hospital, Tokyo 2Pathology Division, National Cancer Center Research Institute, Tokyo Keyword: スキルス胃癌 , 4型進行胃癌 , linitis plastica型胃癌 , 超音波内視鏡 , 内視鏡診断 pp.795-802
Published Date 2020/5/25
DOI https://doi.org/10.11477/mf.1403202053
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 The typical endoscopic findings in scirrhous gastric cancer are poor distension of the gastric wall, morphological changes in gastric folds, and a primary lesion. The disease is primarily classified as fundic gland type of gastric cancer with linitis plastica type or as pyloric gland type of gastric cancer with pyloric stenosis. According to the analysis of 143 scirrhous gastric cancer cases, the fundic gland type accounted for the majority(83.2%). The most common endoscopic finding was poor gastric wall distension, which was observed in 96.5% of cases. Epithelial changes such as erosion and ulcers were not observed in 14.3% and 8.3% of patients with fundic and pyloric gland types, respectively. Notably, the characteristic endoscopic images of the fundic and pyloric gland types are slightly different.

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