Maruta K, Tanaka T, Tanaka S
Gan No Rinsho. 1985 Jun;31(7):877-81.
An 80-year-old man showed depressive change (IIc-like lesion) in the aggregated lesion of hemisphere nodules about eight years after diagnosis of atypical epithelium in the lesser curvature of the stomach. Carcinoma was strongly suspected by the biopsy specimen from the depressive lesion. In the resected specimen, carcinoma was present in the depressive lesion. It is sometimes difficult to distinguish atypical epithelium from carcinoma by endoscopic findings and biopsy specimens. So, in addition to being alert to gross changes of the lesion, it is very important to obtain biopsy specimens with a view to morphological changes of the lesion.
一名80岁男性在胃小弯非典型上皮诊断约八年后,其半球状结节聚集性病变出现抑郁样改变(IIc样病变)。抑郁性病变的活检标本强烈怀疑有癌变。在切除的标本中,抑郁性病变存在癌变。有时通过内镜检查结果和活检标本难以区分非典型上皮和癌变。因此,除了警惕病变的大体变化外,针对病变的形态学变化获取活检标本非常重要。