Kikkawa N, Kawahara T, Kurata A, Higashi T
Dept. of Surgery, National Osaka Hospital.
Gan No Rinsho. 1988 May;34(6):773-6.
Five hundred and nineteen gastric and 883 colorectal cancers have been compared macroscopically according to their Japanese classification. Most early cancers were found to be of a protruded (I and IIa) type in the intestine and a depressed (IIc) type in the stomach, and it is felt that their histogenesis in the mucosa may play an important role in causing this difference. Type 4 advanced cancer is common in the stomach, but rare in the intestine. Histologically, most type 4 gastric cancers present scirrhous findings. Type 4 colorectal cancers can be classified into 4 groups based on their pathological characteristics, such as lymphangiosis, muconodular, mixed, and scirrhous types.
根据日本分类法,对519例胃癌和883例结直肠癌进行了大体比较。发现大多数早期癌症在肠道中为隆起型(I型和IIa型),在胃中为凹陷型(IIc型),并且认为它们在黏膜中的组织发生可能在造成这种差异方面起重要作用。4型进展期癌在胃中常见,但在肠道中罕见。组织学上,大多数4型胃癌呈现硬癌表现。4型结直肠癌可根据其病理特征分为4组,如淋巴管浸润型、黏液结节型、混合型和硬癌型。