Mayumi T, Hachisuka K, Yamaguchi A, Isogai M, Ishibashi H, Kato J, Kanda H, Matsushita M, Oda T, Harakawa I
Gan No Rinsho. 1987 Apr;33(4):411-6.
A case of perforated early gastric cancer and a collective review of the relevant Japanese literature is reported. A 83-year-old woman with free air discovered by an abdominal X-ray, was referred to our hospital. On operating, a perforated ulcer was found within and lesions, indicative of a IIc + III type early gastric cancer. Macroscopically, there was an elevated lesion at the antrum of the stomach as well. Histologically, these lesions were connected and moderately differentiated adenocarcinoma. Another lesion was also found at the anterior wall and diagnosed as IIb type gastric cancer.
报告了一例早期胃癌穿孔病例并对相关日本文献进行了综述。一名83岁女性因腹部X线检查发现膈下游离气体而转诊至我院。手术时,发现胃内有一个穿孔性溃疡,病变提示为IIc + III型早期胃癌。肉眼可见,胃窦部也有一个隆起性病变。组织学检查显示,这些病变相互连接,为中分化腺癌。在前壁还发现了另一个病变,诊断为IIb型胃癌。