Abstract
60 cases (32 males and 28 females) of Borrmann 4 type gastric cancer were studied in order to clarify the diagnostic significance of biopsy. Diagnoses were made endoscopically in all cases and biopsy specimens were taken from 57 patients. Cancer detectability of bioptic procedure was successful in 86.0%. There were no definite correlations between cancer detectability and numbers of biopsy specimens from a lesion, although it was very low (33.3%) in 3 cases in which only 1 to 3 specimens were taken from a lesion. Concerning to the gross appearance of the lesion from which biopsy specimens were taken, cancer detectability was higher in specimens from ulcer edge (63.3%) and ulcer bed (60.0%) than those from giant fold (46.2%) . There was no significant correlation between histological type of cancer and cancer detectability in biopsy specimens. As to the treatment of Borrmann 4 type gastric cancer, gastrectomy could be performed only in 14 of 60 cases (23.3%) and the survival time was miserably short in our study.
