Kumagai K, Yasui A, Nishida Y, Masuo K
Dept. of Surgery, Showa Univ. Toyosu Hospital.
Gan No Rinsho. 1989 May;35(6):677-83.
To study of the possibility of performing a modified operation in cases of a depressed early gastric carcinoma, we have investigated the possibility of stage I early gastric carcinoma detection. Examined were 196 cases of depressed early gastric carcinomas out of a total of 394 cases of a depressed gastric carcinoma. Further, the relationship between lymph node metastasis and the clinicopathological indicators was the following: 1) the macroscopical type grade was simple IIc; 2) the size of tumor was less than 50 mm; 3) the ulceration in the cancerous lesion was under (a) shallow Ul-II; and 4) the depressed floor showed a granular pattern. According to these indicators, we feel that it is possible to detect stage I early depressed carcinoma prior to operation.
为研究早期凹陷型胃癌行改良手术的可能性，我们对Ⅰ期早期胃癌的检测可能性进行了调查。在394例凹陷型胃癌中，检查了196例凹陷型早期胃癌。此外，淋巴结转移与临床病理指标的关系如下：1）大体类型分级为单纯Ⅱc型；2）肿瘤大小小于50mm；3）癌灶溃疡处于（a）浅溃疡-II级以下；4）凹陷底部呈颗粒状。根据这些指标，我们认为术前有可能检测出Ⅰ期早期凹陷型癌。
