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Akihide SUGIYAMA, Yusuke OHASHI, Akira GOMI, Takao OKAMATSU
2005 Volume 30 Issue 1 Pages
1-6
Published: February 28, 2005
Released on J-STAGE: August 13, 2009
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Katsumi MAKITA, Takemasa MIDORIKAWA, Kazuyoshi ISHIBASHI, Kiyoshi MIYA ...
2005 Volume 30 Issue 1 Pages
7-12
Published: February 28, 2005
Released on J-STAGE: August 13, 2009
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Koushi ASABE, Takayuki SHIRAKUSA, Takeshi SHIRAISHI
2005 Volume 30 Issue 1 Pages
13-17
Published: February 28, 2005
Released on J-STAGE: February 09, 2010
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Satoshi KAINUMA, Toshikazu ITO, Masami IMAKITA, Hitoshi MIZUNO, Tsunek ...
2005 Volume 30 Issue 1 Pages
18-24
Published: February 28, 2005
Released on J-STAGE: February 09, 2010
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Kousuke TAKEDA, Masato KUROKAWA, Kazuo NODA, Ryo HATTORI, Yoshikuni AS ...
2005 Volume 30 Issue 1 Pages
25-29
Published: February 28, 2005
Released on J-STAGE: August 13, 2009
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Yoshihisa KUBOTA, Nagato SHIMADA, Osamu SHIMOYAMA, Yoshiko HONDA, Akir ...
2005 Volume 30 Issue 1 Pages
30-34
Published: February 28, 2005
Released on J-STAGE: August 13, 2009
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Hisashi ONODERA, Satoshi NAGAYAMA, Masayuki IMAMURA
2005 Volume 30 Issue 1 Pages
35-39
Published: February 28, 2005
Released on J-STAGE: August 13, 2009
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Early gastric cancer usually has a good prognosis following surgical treatment. However a small number of cases show extensive metastases to distant organs. We here report an unusual case of early gastric cancer detected by bone metastasis. An 81-year-old Japanese woman was referred to our hospital with a right ileac tumor, biopsy of which turned to be well-differentiated adenocarcinoma. After checking for the primary lesion, early gastric cancer with IIa type was determined by both upper gastrointestinal series and gastrofiberscopy. CT scan revealed lymph node swelling around the celiac artery, which was considered to be the cause of her epigastralgia. After radiotherapy for the iliac bone metastasis, subtotal gastrectomy was performed with the intention of relieving her epigastralgia. Although she could return to her ordinary daily life after the operation, regrowth of the iliac bone metastasis, paraaortic lymph nodes metastasis and multiple lung metastasis lead to her death nine months after the operation. Bone metastasis from gastric cancer is clinically rare, especially in early gastric cancer. Although no effective treatment for such intractable disease is established, it is expected that a new strategy combining surgery, chemotherapy and radiotherapy may improve the prognosis and QOL of patients.
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Kaoru DOMOTO, Yoshihiko NARITAKA, Kazuhiko YOSHIMATU, Keiichirou ISHIB ...
2005 Volume 30 Issue 1 Pages
40-43
Published: February 28, 2005
Released on J-STAGE: August 13, 2009
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Toshiyuki SUWA, Jo SAKURAI, Masafumi KATAYAMA, Hiromichi KOBAYASHI, Sh ...
2005 Volume 30 Issue 1 Pages
44-47
Published: February 28, 2005
Released on J-STAGE: August 13, 2009
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Yasuto NAOI, Hitoshi YAMAMOTO, Eizhi KUROKAWA
2005 Volume 30 Issue 1 Pages
48-51
Published: February 28, 2005
Released on J-STAGE: August 13, 2009
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Masakazu IKENAGA, Hideyuki MISHIMA, Motohiro HIRAO, Kazumasa FUJITANI, ...
2005 Volume 30 Issue 1 Pages
52-56
Published: February 28, 2005
Released on J-STAGE: August 13, 2009
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Report of Five Cases
Akira HIRANO, Kensuke ADACHI, Jun MATSUMOTO, Akira OHSHIMA, Toshihiro ...
2005 Volume 30 Issue 1 Pages
57-60
Published: February 28, 2005
Released on J-STAGE: August 13, 2009
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Hisanori KASHIZUKA, Saiho KO, Michiyoshi HISANAGA, Yoshiyuki NAKAJIMA
2005 Volume 30 Issue 1 Pages
61-65
Published: February 28, 2005
Released on J-STAGE: August 13, 2009
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Hiroyuki KUGE, Saiho KO, Hiromichi KANEHIRO, Michiyoshi HISANAGA, Taka ...
2005 Volume 30 Issue 1 Pages
66-70
Published: February 28, 2005
Released on J-STAGE: August 13, 2009
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A Report of Two Cases
Katsuyuki KUNIEDA, Masahiko KAWAI, Takami FUKUI, Hiroaki OHTA, Kazuya ...
2005 Volume 30 Issue 1 Pages
71-76
Published: February 28, 2005
Released on J-STAGE: August 13, 2009
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AFP-producing early gastric cancer is extremely rare, and its characteristics and prognosis have not yet been clarified. We report two cases of AFP-producing early gastric cancer with metachronous multiple liver metastases after curative resection.
Case 1 : A 53-year-old woman with epigastralgia was found to have a depressive lesion in the middle portion of the stomach by gastroendoscopy. The preoperative serum level of AFP was32 ng/ml. Pylorus -preserving gastrectomy with D1 lymph node dissection was performed. The resected specimen showed a depressive tumor of 18 × 14 mm with histological findings of porl, sm, n0 and positive for AFP staining. Ten months later, the serum AFP level elevated to 70, 520 ng/ml, and liver metastasis was identified. In spite of liver resection, and chemotherapy, she died 22 months after the first operation.
Case 2 : A 52-year-old man with epigastralgia was found to have a depressive lesion in the lower third portion of the stomach by gastroendoscopy. The preoperative serum level of AFP was332 ng/ml. Distal gastrectomy with D2 lymph node dissection was performed. The resected specimen showed a depressive lesion surrounded by slight elevation of 27 × 18 mm. Histological findings were porl, sm, n0 and reactive for AFP staining. An elevated serum AFP level (620 ng/ml) and multiple liver metastases were detected by abdominal CT seven months later and he died 16 months after surgery.
We must keep in mind the high malignant potential of AFP-producing early gastric cancer, and should observe patients carefully using echogram, CT and the serum AFP level.
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Tatsuma IMURA, Naoya IKEDA, Masayuki SHO, Ryo NISHINUMA, Junko NOMURA, ...
2005 Volume 30 Issue 1 Pages
77-82
Published: February 28, 2005
Released on J-STAGE: August 13, 2009
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Takuo NISHINA, Hiromi TANEMURA, Hiroo OSHITA, Akihiro KANNO, Tsuneaki ...
2005 Volume 30 Issue 1 Pages
83-86
Published: February 28, 2005
Released on J-STAGE: August 13, 2009
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Takami FUKUI, Masahiko KAWAI, Tsumio YAMAMORI
2005 Volume 30 Issue 1 Pages
87-92
Published: February 28, 2005
Released on J-STAGE: August 13, 2009
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[in Japanese]
2005 Volume 30 Issue 1 Pages
93-94
Published: February 28, 2005
Released on J-STAGE: August 13, 2009
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[in Japanese]
2005 Volume 30 Issue 1 Pages
95-96
Published: February 28, 2005
Released on J-STAGE: August 13, 2009
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