小さなⅡc型早期胃癌症例

A Case of Minute Ⅱc Type Early Gastric Cancer

症例

　患者：43歳男

　主訴：3カ月来の心窩部膨満感

　術前診断：幽門前庭部小彎前壁よりのⅡc型早期胃癌

　手術：昭和44年3月16日

Case: a 43-year-old male

Chief complaint: sensation of fullness in the epigastrium since 3 months ago

Preoperative diagnosis: Ⅱc type early gastric cancer on the lesser curvature in the pyloric antrum a little toward the anterior wall

Date of operation: March 16, 1969

Postoperative diagnosis: Ⅱc type early gastric cancer (the size of the depression measuring 8×8 mm with ‘m' degree of depth invasion: adenocarcinoma tubulare)

　Macroscopic and histological findings are summarized as follows:

1) The size of the depression is small, measuring only 8×8 mm localized within the superficial one third of the mucosal layer, so that sulci areae gastricae are still to be recognized in the base of the depression.

2) It is not associated with ulcer (Ul), nor is fibrination remarkable.

　In short, it is a very shallow Ⅱc unaccompanied with mucosal convergence.

　The paper further discusses regarding the x-ray diagnosis of this lesion on how to find it together with the analysis of x-ray findings illustrated in this report.