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Endoscopic observation of elevated lesions of the stomach



Endoscopic observation of elevated lesions of the stomach



Journal of Pusan Medical College 21(2): 241-248



Elevated lesions in the stomach of 127 cases, who were seen during May, 1977-May, 1981, were gastroscopically analyzed. The age distribution of the patients was between 19-71 yr old, with the highest incidence in the 5th decade. The ratio of male to female was .apprx. 1.5:1. The diseases producing elevated lesions were: variolar-formed erosions in 45 cases, benign gastric polyps in 30 cases protruding cancers including Borrmann type I advanced cancer, type I and type II a + IIb or type IIc early stomach cancer in 30 cases and submucosal tumor or extrinsic pressure effect in 22 cases. Among the 22 cases with submucosal tumor or extrinsic pressure effect, 7 cases were endoscopically suspected to be submucosal tumor, 10 cases to be extrinsic pressure effect and 5 cases were undetermined. The gastric erosions were multiple in 80% and the polyps were multiple only in 13.3%. The erosions and benign polyps were mostly located at the gastric antrum and the protruding cancers were mainly located on the body and antrum of the stomach. The submucosal tumor or extrinsic pressure effects were mostly located on the body. The positive rate of direct vision biopsy in early stomach cancer were 62.5% and 83.3% in Borrmann type I advanced stomach cancer. Among 21 cases of gastric polyps, 14 cases were adenomatous polyps and 7 cases were inflammatory polyps. The extrinsic pressure effects were due to hepatoma in 5 cases, pancreatic carcinoma in 2 cases, lesions of gallbladder in 2 cases and distended colon in 1 case.

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Accession: 005359410

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