CLINICOPATHOLOGICAL STUDIES OF GASTRIC MUCOSAL CANCER WITH LYMPH NODE METASTASIS

Autor: Atsushi Nukui, Masahiko Tsuji, Hironobu Kimura, Takeichi Goka, Hajime Arakawa, Kazuhisa Yabushita, Kiichi Maeda, Kohji Konishi, Ichirou Ohnishi, Masahide Kaji
Rok vydání: 1999
Předmět:
Zdroj: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association). 60:3093-3097
ISSN: 1882-5133
1345-2843
DOI: 10.3919/jjsa.60.3093
Popis: Clinicopathologic evaluation was made on cases of early gastric mucosal cancer with lymph node metastasis for the purpose of defining the indications of endoscopic mocosal resection. In a series of 744 cases of gastric mucosal cancer, nine (1.2%) cases with positive lymph nodes were subjected to the evaluation. The characteristic features of these nine cases included younger than 70 years old, a mixed gross appearance, undifferentiated type cancer, and larger in size of the tumor. Ulceration in the cancerous lesions was found in six (67%) of nine cases. We conclude that mucosal cancers without ulceration in the lesions less than 40mm in diameter for elevated type of gross appearance, and less than 20mm in diameter for depressed type of gross appearance seldom have lymph node metastasis. For successful curative endoscopic treatment of mucosal cancers, it is essential that the primary lesion should be completely removed.
Databáze: OpenAIRE