Matsukawa M, Kurihara M, Hirashima M, Iwasaki Y, Hamada T
Department of Gastroenterology, Showa University Toyosu Hospital, Tokyo, Japan.
Gan To Kagaku Ryoho. 1994 Oct;21(14):2378-83.
Gastric scirrhous cancer was classified from the radiological findings into three phases (typical, latent and early phases) by cancerous involvement in the gastric wall. Radiological findings in the typical phase were divided into a giant-fold type and a no giant-fold type. We made a differential diagnosis for scirrhous cancer and other diseases. Radiological findings in the typical phase of scirrhous cancer were characteristic stiffness and rigidity of the gastric wall; in the latent phase, they were swelling and winding of mucosal folds in appropriate distended stomach; and in the early phase, interrupted folds around barium fleck. The effect of chemotherapy against a gastric scirrhous cancer is decided by distensibility of the gastric wall in radiological findings.
根据影像学表现,胃硬癌按癌组织侵犯胃壁的情况分为三个阶段(典型期、隐匿期和早期)。典型期的影像学表现分为巨襞型和无巨襞型。我们对硬癌与其他疾病进行了鉴别诊断。硬癌典型期的影像学表现为胃壁特征性的僵硬;隐匿期表现为胃适度扩张时黏膜皱襞的肿胀和迂曲;早期表现为钡斑周围皱襞中断。化疗对胃硬癌的疗效取决于影像学表现中胃壁的可扩张性。