A CASE OF GASTRIC TUBERCULOSIS HARD TO DIFFERENTIATE FROM THE SCIRRHOUS CARCINOMA

TOHRU KIMURA; MAKOTO MOTOYAMA; JIRO TAKEZAWA; MASAHIDE KURIHARA; TAKEO KUWABARA; MASATERU TANAKA; 長坂 一三; TATSUO YAMAJI; YASUSHI TUZUKI; SUMIKAZU INUI; TSUGIO HIGUCHI; TOSHIKAZU SEKIGUCHI; SETSUO KOBAYASHI; NORIYUKI SAKATA; TAKUMI JOOSHITA

doi:10.11280/gee1973b.23.313

TOHRU KIMURA, MAKOTO MOTOYAMA, JIRO TAKEZAWA, MASAHIDE KURIHARA, TAKEO KUWABARA, MASATERU TANAKA, [in Japanese], TATSUO YAMAJI, YASUSHI TUZUKI, SUMIKAZU INUI, TSUGIO HIGUCHI, TOSHIKAZU SEKIGUCHI, SETSUO KOBAYASHI, NORIYUKI SAKATA, TAKUMI JOOSHITA

Author information

TOHRU KIMURA
Tone Chuo Hospital
MAKOTO MOTOYAMA
The 1st Department of Internal Medicine, Gunma University School of Medicine
JIRO TAKEZAWA
The 1st Department of Internal Medicine, Gunma University School of Medicine
MASAHIDE KURIHARA
The 1st Department of Internal Medicine, Gunma University School of Medicine
TAKEO KUWABARA
The 1st Department of Internal Medicine, Gunma University School of Medicine
MASATERU TANAKA
The 1st Department of Internal Medicine, Gunma University School of Medicine
[in Japanese]
The 1st Department of Internal Medicine, Gunma University School of Medicine
TATSUO YAMAJI
The 1st Department of Internal Medicine, Gunma University School of Medicine
YASUSHI TUZUKI
The 1st Department of Internal Medicine, Gunma University School of Medicine
SUMIKAZU INUI
The 1st Department of Internal Medicine, Gunma University School of Medicine
TSUGIO HIGUCHI
The 2 nd Department of Pathology , Gunma University School of Medicine
TOSHIKAZU SEKIGUCHI
The 2 nd Department of Pathology , Gunma University School of Medicine
SETSUO KOBAYASHI
The 2 nd Department of Pathology , Gunma University School of Medicine
NORIYUKI SAKATA
The 2 nd Department of Pathology , Gunma University School of Medicine
TAKUMI JOOSHITA

JOURNAL FREE ACCESS

1981 Volume 23 Issue 2 Pages 313-319

DOI https://doi.org/10.11280/gee1973b.23.313

Details

Abstract

A 34-year-old male was admitted to our hospital complaining of epigastric pain and loss of weight. A barium examination revealed poor distensibility of the entire stomach and mural rigidity: no ulcer crater could be identified. Endoscopic examination showed a rough-granular protruded lesions of the stomach. Scirrhous carcinoma of the stomach was suspected, however malignant cell was negative in several gastric biopsy materials. Gross finding of resected stomach was smooth and showed no evidence of ulceration. Histologically a great number of epethelioid cell tubercles mixed with Langhans' giant cells were seen in the muscularis propria. Although special stains failed to reveal the presence of tubercle bacilli, the diagnosis of tuberculosis of the stomach was made based upon patholo-gical findings.

Corresponding author

Register with J-STAGE for free!