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British Journal of Radiology (1996) 69, 661-664
© 1996 British Institute of Radiology
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The British Journal of Radiology, Vol 69, Issue 823 661-664, Copyright © 1996 by British Institute of Radiology

ARTICLES

Short communication: detection of early scirrhous carcinoma of the stomach by endoscopic ultrasonography

H Fujishima, Y Chijiiwa and H Nawata
Third Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.

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.




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