抄録
Sixty cases of gastric carcinoma in young people less than 30 years of age were experienced, and 10 out of 60 cases were early gastric carcinoma. The lesion was mainly presented at the angle or lower corpus, which was usually called M. Macroscopically all cases were depressed type in our experiences, and protruded type was never found out. In 50 cases with advanced gastric carcinoma, Borrmann II and N were predominantly seen. Gastric carcinoma in the young has two main problems such as poor prognosis and difficult diagnosis, therefore we studied on its diagnostic probabilities using Swan-type Double-bending Gastrofiberscope, the dye contrast method and jumbo particle biopsy. In histological examination, the usual biopsy-specimens were not so sufficient for accurate diagnosis about the infiltration of the cancer cells. Therefore we prepared 4 kinds of forceps with different size, wih an aim to get much more reliable tissue for the diagnosis. As one of the methods of early diagnosis of gastric carcinoma in the young, the significance of the dye contrast method was evaluated, because we could observe the fine gastric mucosal structure and area gastricae of the lesion such as cancerous erosion and submucosal invasion by means of this method.
