ANALYSIS ON INDICATION FOR CURATIVE:ENDOSCOPIC MUCOSAL, RESECTIONOF UNDIFFERENTIATED TYPE EARLY GASTRIC CANCER

Norimichi KOIKE; Shinji TANAKA; Ken HARUMA; Hirokazu GOISHI; Yuko HIRAGA; Mutsumi HANANOKI; Mitsuhiro MIHARA; Toyoko GOTO; Yasuhiko KITADAI; Masaharu YOSHIHARA; Koji SUMII; Goro KAJIYAMA; Fumio SHIMAMOTO; Masahiko NISHIYAMA; Tetsuya TOGE; Takashi KUMAMOTO

doi:10.11280/gee1973b.39.1582

Norimichi KOIKE, Shinji TANAKA, Ken HARUMA, Hirokazu GOISHI, Yuko HIRAGA, Mutsumi HANANOKI, Mitsuhiro MIHARA, Toyoko GOTO, Yasuhiko KITADAI, Masaharu YOSHIHARA, Koji SUMII, Goro KAJIYAMA, Fumio SHIMAMOTO, Masahiko NISHIYAMA, Tetsuya TOGE, Takashi KUMAMOTO

Author information

Norimichi KOIKE
First Department of Internal Medicine, HIroshima University School of Medicine, Hiroshima, Japan.
Shinji TANAKA
Department of Pathorogy, HIrosima University Hospital, HIiroshima, Japan.
Ken HARUMA
Department of Pathorogy, HIrosima University Hospital, HIiroshima, Japan.
Hirokazu GOISHI
Department of Pathorogy, HIrosima University Hospital, HIiroshima, Japan.
Yuko HIRAGA
Department of Pathorogy, HIrosima University Hospital, HIiroshima, Japan.
Mutsumi HANANOKI
Department of Pathorogy, HIrosima University Hospital, HIiroshima, Japan.
Mitsuhiro MIHARA
Department of Pathorogy, HIrosima University Hospital, HIiroshima, Japan.
Toyoko GOTO
Department of Pathorogy, HIrosima University Hospital, HIiroshima, Japan.
Yasuhiko KITADAI
Department of Pathorogy, HIrosima University Hospital, HIiroshima, Japan.
Masaharu YOSHIHARA
Department of Pathorogy, HIrosima University Hospital, HIiroshima, Japan.
Koji SUMII
Department of Pathorogy, HIrosima University Hospital, HIiroshima, Japan.
Goro KAJIYAMA
Department of Pathorogy, HIrosima University Hospital, HIiroshima, Japan.
Fumio SHIMAMOTO
Department of Pathorogy, HIrosima University Hospital, HIiroshima, Japan.
Masahiko NISHIYAMA
Department of Biochemistry and Biophysics, Division of Molecular Biology, Resarch Institute for Radiation Biology and Medicine, HIroshima University, Hiroshima,Japan.
Tetsuya TOGE
Department of Surgical Oncology Research Institute for Radiation Biology and Medicine Hiroshima University, Hiroshima, Japan.
Takashi KUMAMOTO
Internal Medicine, Hiroshima Memorial Hospital, Hiroshima, Japan.

JOURNAL FREE ACCESS

1997 Volume 39 Issue 9 Pages 1582-1590

DOI https://doi.org/10.11280/gee1973b.39.1582

Details

Abstract

We examined the relationship between clinieopathologic findings and lymph nodemetastasis on 118 cases with u.ndifferentiated type early gastric cancer (m : 70lesions, sm :481esions) resected surgically. Six lesions (5%) had lymph node metastasis. The depth ofinvasion in these six mucosal lesions were one mucosal cancer and five submucosalinvasive cancers. only ane aut of 7a lesians (1.4%) had lymph node metastasis. Themucosal lesion with lymph node metastasis was 35mm in diameter with ulceration.Su.bmucosal invasive lesions with lymph node metastasis were one sm21esion and four sm31esions. All lesions with lymph node metastasis were accompanied by ulceration. This datasuggest that if the legion can be resected in ane try, undifferentiated type mucosal cancerwithout ulceration may be treated curatively by EMR.

Corresponding author

Register with J-STAGE for free!