Fujishima H, Chijiiwa Y, Nawata H
Third Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Br J Radiol. 1996 Jul;69(823):661-4. doi: 10.1259/0007-1285-69-823-661.
The endoscopic ultrasonography (US) characteristics of early scirrhous carcinoma of the stomach (ESS) were evaluated in four patients. ESS was defined as the presence of poorly differentiated carcinoma cells spreading through the submucosa and muscularis propria in association with a marked desmoplastic reaction without serosal invasion. ESS was characterized by localized irregular hypoechoic enlargement of the third (submucosal) and the fourth (muscularis propria) layers. The fifth (serosal) layer was normal. The third and fourth layers showed a threefold increase in thickness compared with the thickness of these layers in healthy subjects. Our results suggest that endoscopic US is useful for diagnosis of ESS.
对4例早期胃硬癌（ESS）患者的内镜超声（US）特征进行了评估。ESS定义为存在低分化癌细胞通过黏膜下层和固有肌层扩散，并伴有明显的促纤维增生反应，且无浆膜侵犯。ESS的特征是第三层（黏膜下层）和第四层（固有肌层）局限性不规则低回声增厚。第五层（浆膜层）正常。与健康受试者相比，第三层和第四层的厚度增加了两倍。我们的结果表明，内镜超声对ESS的诊断有用。
