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A study on the diagnosis of carcinoma of the stomach In Koreans (I)

Abstract

A study on the diagnosis of carcinoma of the stomach was carried out in 105 selected Korean cases of histologically proved carcinoma of the stomach, aimed to the position and value of roentgenography and gastroscopy. The results were summarized as follows: 1) In the diagnosis of 105 cases of Korean gastric carcinomas, a correct diagnosis was made by roentgenography in 79.1 percent and by gastroscopy in 86.7 percent of all cases. Roentgenography plus gastroscopy permitted a correct diagnosis in 92.3 percent of all cases. There is no significant difference statistically on the diagnostic accuracy between roentgenography and gastroscopy (by t-test, t=0.8572). 2) In the diagnosis of carcinoma of the stomach, with roentgenography the greatest diagnostic error occurred in primary ulcerative lesions and with gastroscopy in inadequate examinations which were resulted from mechanical failures. It occurred also in mixed type of infiltration and ulceration for the gross pathology and in lesions of gastric body and pyloric antrum as the site of the lesion. 3) In this series of 105 cases of Korean gastric carcinomas, two cases of early gastric carcinoma (type IIc +III) were correctly diagnosed by roentgenography and gastroscopy. 4) In this series, the most frequent type of gross pathology  More>>
Authors:
Chin, Soo Il [1] 
  1. Seoul National University College of Medicine, Seoul (Korea, Republic of)
Publication Date:
Oct 15, 1971
Product Type:
Journal Article
Resource Relation:
Journal Name: Journal of the Korean Radiological Society; Journal Volume: 7; Journal Issue: 1; Other Information: 67 refs, 10 tabs
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; CARCINOMAS; DIAGNOSIS; PATHOLOGY; PATIENTS; REPUBLIC OF KOREA; STOMACH
OSTI ID:
21191244
Country of Origin:
Korea, Republic of
Language:
Korean
Other Identifying Numbers:
Journal ID: ISSN 1738-2637; DBSHAH; TRN: KR0901551063529
Submitting Site:
KRN
Size:
page(s) 25-37
Announcement Date:
Aug 17, 2009

Citation Formats

Chin, Soo Il. A study on the diagnosis of carcinoma of the stomach In Koreans (I). Korea, Republic of: N. p., 1971. Web.
Chin, Soo Il. A study on the diagnosis of carcinoma of the stomach In Koreans (I). Korea, Republic of.
Chin, Soo Il. 1971. "A study on the diagnosis of carcinoma of the stomach In Koreans (I)." Korea, Republic of.
@misc{etde_21191244,
title = {A study on the diagnosis of carcinoma of the stomach In Koreans (I)}
author = {Chin, Soo Il}
abstractNote = {A study on the diagnosis of carcinoma of the stomach was carried out in 105 selected Korean cases of histologically proved carcinoma of the stomach, aimed to the position and value of roentgenography and gastroscopy. The results were summarized as follows: 1) In the diagnosis of 105 cases of Korean gastric carcinomas, a correct diagnosis was made by roentgenography in 79.1 percent and by gastroscopy in 86.7 percent of all cases. Roentgenography plus gastroscopy permitted a correct diagnosis in 92.3 percent of all cases. There is no significant difference statistically on the diagnostic accuracy between roentgenography and gastroscopy (by t-test, t=0.8572). 2) In the diagnosis of carcinoma of the stomach, with roentgenography the greatest diagnostic error occurred in primary ulcerative lesions and with gastroscopy in inadequate examinations which were resulted from mechanical failures. It occurred also in mixed type of infiltration and ulceration for the gross pathology and in lesions of gastric body and pyloric antrum as the site of the lesion. 3) In this series of 105 cases of Korean gastric carcinomas, two cases of early gastric carcinoma (type IIc +III) were correctly diagnosed by roentgenography and gastroscopy. 4) In this series, the most frequent type of gross pathology appeared to be Bormann tpe III, type of ulceration with spreading infiltration, which was 72.4 percent of all 105 cases and the site of the lesion revealed the highest frequently in the pylorus in 53.3 percent, but both of these had little significance in the determination of diagnostic accuracy of roentgenography and/or gastroscopy in gastric carcinomas. 5) The onset of symptoms, clinical manifestations, and physical findings were reviewed in all 105 cases of this series. The predominant symptoms were epigastric pain (75.2 percent), indigestion (73.3 percent) and weight lose (57.0 percent) in the order and the most frequent physical findings was epigastric tenderness (68.6 percent). The epigastric mass was palpated no more than 31.3 percent of all cases. 6) For the early detection of gastric carcinoma, the roentgenography must be chosen as first routine examination and the gastroscopy as second adjunctive method, because these two diagnostic procedures show no significant statistic deference on the diagnostic accuracy one another but the roentgenography has some advantages; its ease of performance, rapidity, greater safety, fewer contraindications to its use, its ease of re-examination, and fewer charge to the patient.}
journal = []
issue = {1}
volume = {7}
place = {Korea, Republic of}
year = {1971}
month = {Oct}
}