Kumagai K, Nakatsu M, Liu S H, Haba T, Takizawa N, Gonda H, Urabe M, Hayashida Y, Takezoe K, Maekawa K
Gan No Rinsho. 1984 Sep;30(11):1379-83.
In patients with multiple gastric cancer and superficial spreading type gastric carcinoma (abbreviated as S.S.C.) accompanied by IIb, the remnant stomach is sometimes cancer positive. Our study population consisted of 44 patients with multiple early gastric cancer and 63 patients with depressed type S.S.C. The gastric mucosa was classified into 3 types according to the surrounding mucosal atrophy, 1) pyloric gland zone, 2) intermediate zone, 3) fundic gland zone. All lesions of multiple early gastric cancer and S.S.C. were located in the pyloric gland zone or the intermediate zone. The depressed type S.S.C. did not invade the fundic gland zone. Therefore, knowledge about the extend++ of surrounding mucosal atrophy is required for the proper diagnosis of early gastric cancer and the surgeon must recognize the relationship between the glandular border line and resection line.
在患有多发性胃癌以及伴有IIb型的浅表扩散型胃癌（简称为S.S.C.）的患者中，残胃有时呈癌阳性。我们的研究对象包括44例多发性早期胃癌患者和63例凹陷型S.S.C.患者。胃黏膜根据周围黏膜萎缩情况分为3种类型：1）幽门腺区；2）中间区；3）胃底腺区。所有多发性早期胃癌和S.S.C.的病变均位于幽门腺区或中间区。凹陷型S.S.C.未侵犯胃底腺区。因此，为了正确诊断早期胃癌，需要了解周围黏膜萎缩的范围，并且外科医生必须认识到腺边界线与切除线之间的关系。
