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ID 32376
フルテキストURL
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著者
Mano, Kiyoshi Okayama Saiseikai General Hospital
Hitomi, Yasushi Okayama Saiseikai General Hospital
Karai, Akira Okayama Saiseikai General Hospital
Yabe, Yasuhiro Okayama Saiseikai General Hospital
Kataoka, Kazuo Okayama Saiseikai General Hospital
Onoda, Osamu Okayama Saiseikai General Hospital
Ikegami, Ichiro Okayama Saiseikai General Hospital
Maekawa, Seigen Okayama Saiseikai General Hospital
Yamaguchi, Michiya Okayama Saiseikai General Hospital
Kato, Nobuhiro Okayama Saiseikai General Hospital
Hirose, Shuhei Okayama Saiseikai General Hospital
Yuhara, Atsuyoshi Okayama Saiseikai General Hospital
Imai, Masanobu Okayama Saiseikai General Hospital
Kita, Shooichi Okayama Saiseikai General Hospital
Nobuto, Hideo Okayama Saiseikai General Hospital
抄録

1. An attempt has been made to find the diagnostic criteria for early gastric cancer. It is most important to detect the evidences or suspected features of the malignant growth in incipient stage in order to attain the radical cure by surgical operation. 2. Twelve patients with early gastric cancer (groups A and B) were selected out of 476 patients who had undergone gastrectomy during the past three years in the Okayama Saiseikai General Hospital. The other 6 patients in the "precancerous group" (group C) were also studied, who had abnormal epithelial proliferation in the resected stomach membrane during the same period. 3. The processes of discovery of early cancer have been described. Fairly precise diagnosis can be made in the mucosal carcinoma, but it is not in the ulcer-carcinoma. It was generally difficult to estimate the degree of the malignancy and the extension of the growth preoperatively. 4. The details of the diagnostic aids are as follows. i. Negative occult blood of stool does not always mean the definite diagnostic aid. ii. The malignant gastric change may occur even in non-anacidity. Further investigations should be followed up on gastric ulcer patients if malignant alteration is under the consideration. iii. Minor roentgenological findings, such as the absence or irregularity of mucosal folds, rigid and/or overlapped contour, localized absence or decrease of the peristaltic waves and absence or bow-shaped deformity of the angulus, are of important significance. Such changes should be minutely sought for by X-ray film examination. iv. On gastroscopy and gastrocamera photography, such changes as erosion or irregular granular thickening of the membrane with abnormal reddening and edematous appearance, irregularity of ulcer edge, uneven swelling on ulcer margin with reddening and unsharpness of the edge of adherent coat on ulcer floor, must be noted in the early gastric cancer. v. It is not safe to leave a patient having stomach ulceration under a mere conservative management because it is often quite difficult to dissolve the question of malignancy of the lesion with all sorts of examinations. vi. So far as clinical examinations have indicated malignancy, histological examination must be carried out immediately at the time of operation, even when malignant lesion is absent in inspection and palpation on the exposure of the stomach. vii. On the gross observation of the resected stomach, a particular attention must be paid to erosion, depression or atrophy, irregular granular thickening and abnormal reddening on the restricted areas of the mucosal surface.

発行日
1962-06
出版物タイトル
Acta Medicinae Okayama
16巻
3号
出版者
Okayama University Medical School
NCID
AA00041342
資料タイプ
学術雑誌論文
言語
English
論文のバージョン
publisher
査読
有り
Amo Type
Article
Submission Path
amo/vol16/iss3/3