ID 110767
Author
Shiraishi, Tatsuhiko Department of Internal Medicine, Miyoshi Prefectural Hospital
Shimizu, Ichiro Department of Digestive and Cardiovascular Medicine, Institute of Health Biosciences, The University of Tokushima Graduate School
Horie, Takahiro Department of Internal Medicine, Miyoshi Prefectural Hospital
Okazaki, Michiyo Department of Internal Medicine, Miyoshi Prefectural Hospital
Teraoka, Momoko Department of Internal Medicine, Miyoshi Prefectural Hospital
Takeichi, Kazunori Department of Internal Medicine, Miyoshi Prefectural Hospital
Uehara, Kouzou Department of Internal Medicine, Miyoshi Prefectural Hospital
Fujiwara, Kensuke Department of Internal Medicine, Miyoshi Prefectural Hospital
Fujiwara, Soichiro Department of Internal Medicine, Miyoshi Prefectural Hospital
Yamamoto, Hirofumi Department of Internal Medicine, Miyoshi Prefectural Hospital
Iuchi, Arata Department of Internal Medicine, Miyoshi Prefectural Hospital
Wakatsuki, Shingo Department of Human Pathology, Institute of Health Biosciences, The University of Tokushima Graduate School
Ito, Susumu Department of Digestive and Cardiovascular Medicine, Institute of Health Biosciences, The University of Tokushima Graduate School Tokushima University Educator and Researcher Directory
Keywords
octopus pot-shaped cardial cancer
metastasis
Content Type
Journal Article
Description
A 71-year-old male was admitted for abdominal fullness. The condition rapidly deteriorated in a short period (3weeks), and the patient died. Autopsy revealed a protruding lesion measuring about 3 cm with erosion measuring 5mmin diameter immediately below the esophago-gastric conjugation site, suggesting primary cardial undifferentiated adenocarcinoma. In the primary focus, changes on the mucosal surface were almost normal. However, below the mucosa, infiltration of cancer cells was observed in an approximately 3 cm area along the gastric wall. Simultaneously, the site of infiltration was markedly increased in deep areas. Extra serous infiltration was observed. The morphology was special, and resembled an octopus pot, a trap used to catch octopuses in Japan, with a narrow top and a broad base. In our patient, metastatic lesions were detected in multiple organs, including the stomach.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
52
Issue
1-2
Start Page
122
End Page
125
Sort Key
122
Published Date
2005-02
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher
departments
Medical Sciences