Tajiri H
Hokkaido Igaku Zasshi. 1979 Nov;54(6):621-7.
A comparative study was made of macroscopic and radiologic findings about 95 lesions (83 cases) of small cancers (10 mm and below) in the antrum of the stomach, and the following results were obtained. 1) Preoperative diagnostic rate was 11/66 (17%) for lesions of micro-gastric cancers (5 mm and below), and 21/29 (72%) for lesions of small gastric cancers 5.1-10). Lesions of microgastric cancers which were preoperatively diagnosed as such were those with size of 3 to 5 mm accompanied by marginal elevations. 2) Radiologic findings about micro-gastric cancers. Some of the micro-gastric cancers which gave some findings in barium filled pictures existing along the greater or lesser curvature were observed as pictures of slight depression. In the compression pictures were noticed niches of irregular linear or stellar shapes with surrounding translucency. For qualitative diagnosis, the compression method was found most effective. It is considered very important to look for small niches, slight translucency, and slight deformity in the greater or lesser curvature carefully.
对胃窦部95个小癌灶(83例),直径10毫米及以下,进行了大体和放射学检查的对比研究,结果如下:1)微小胃癌(5毫米及以下)病灶的术前诊断率为11/66(17%),小胃癌(5.1 - 10毫米)病灶的术前诊断率为21/29(72%)。术前诊断为微小胃癌的病灶是那些直径3至5毫米伴有边缘隆起的病灶。2)微小胃癌的放射学表现。一些在充盈钡剂造影片上沿大弯或小弯有表现的微小胃癌,表现为轻度凹陷影像。在压迫造影片上可见不规则线性或星状龛影,周围有透亮区。对于定性诊断,压迫法最为有效。仔细寻找大弯或小弯处的小龛影、轻度透亮区和轻度变形被认为非常重要。