Yokota T, Takehara N, Yorimitsu Y, Uchita Y, Sakai H, Tokuoka H, Yoshida M, Kondo K, Iwata K
Gan To Kagaku Ryoho. 1987 Aug;14(8):2575-8.
A 58-year-old male visited the Kochi Municipal Central Hospital on May 17, 1984. A barium meal study and endoscopy revealed a huge crater surrounded by a thick embankment on the posterior wall of the stomach body. Biopsy specimens taken from the lesion revealed tubular adenocarcinoma, UFT (600 mg/day) and anti-tuberculous drugs were administered due to the complication of pulmonary tuberculosis. Endoscopic examination on August 6, 1984, revealed a remarkable improvement, showing a shallow irregular depression with converging folds. The patient underwent surgery on August 7, 1984, because from the endoscopic appearance, residual cancer was highly suspect, and also tuberculosis had improved. The histology of the surgically resected specimen showed a chronic peptic ulcer, the base of which was covered with regenerating mucosa. No cancer nests were demonstrated even by serial tissue sections.
一名58岁男性于1984年5月17日就诊于高知市立中央医院。钡餐检查和内窥镜检查发现胃体后壁有一个巨大的溃疡,周围有厚厚的堤状隆起。从病变处采集的活检标本显示为管状腺癌,由于并发肺结核,给予优福定(600毫克/天)和抗结核药物治疗。1984年8月6日的内窥镜检查显示有显著改善,可见一个浅的不规则凹陷,有皱襞汇聚。该患者于1984年8月7日接受手术,因为从内窥镜表现来看,高度怀疑有残留癌,而且肺结核病情已有所改善。手术切除标本的组织学检查显示为慢性消化性溃疡,其底部覆盖着再生黏膜。即使通过连续组织切片也未发现癌巢。