Gastrointestinal Cancer Atlas for Endoscopic Therapy by Rikiya Fujita, Hiroshi Takahashi PDF

By Rikiya Fujita, Hiroshi Takahashi

ISBN-10: 4431881646

ISBN-13: 9784431881643

Since a couple of mucosal digestive tract melanoma detected has elevated in recent times with an develop of endoscopic tools, endoscopic remedy of digestive tract melanoma is commonly unfold in Japan yet now not in different nations. Minute cancers appear to have personal attribute mucosal indicators in comparison with benign lesions. for this reason, techniques, these are assorted in Japan from different international locations, of endoscopic analysis are very important.

The melanoma institute sanatorium of JFCR (Japan starting place of melanoma learn) is among the most sensible associations which do the simplest endoscopic therapy in Japan. This e-book is predicted to be the 1st invaluable atlas during which the considerable stories of this medical institution provide appealing pictures of minute cancers with none scars of biopsies which switch elements of unique lesions. This publication additionally provide photos of magnifying endoscopy utilizing NBI (Narrow Band Imaging) and pathological findings.

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Fig. 2. Pathological findings With a magnifying lens: Cancer was recognized at almost the same area as the elevation Higher magnification: Higher magnification of the same region revealed well-differentiated adenocarcinoma. Cancer was confined to the mucosal layer 44 Case Presentations: Early Gastric Cancer Case 2 61-year-old woman early gastric cancer, lesser curvature of the mid-body, type 0-IIa, 4-mm well-differentiated tubular adenocarcinoma (tub1). Fig. 1. Endoscopic diagnosis and findings Routine observation: A reddish, relatively well-demarcated, flat-elevated lesion 4 mm in diameter was observed at the lesser curvature of the mid-body of the stomach (arrows).

4c). Endoscopic mucosal resection was carried out, and pathology revealed a signetring cell carcinoma 3 mm in diameter, with the invasion depth limited to the mucosa (Fig. 4d). Problems When Diagnosing Minute Early Gastric Cancer by NBI Because NBI visualizes changes in surface structure, it is impossible to observe any irregular surface vascular patterns for signet-ring cell carcinomas that proliferate Diagnosis of Minute Gastric Cancer by Narrow Band Imaging 35 only at the regenerative zone or for cancers that develop in the deep, middle part of the mucosa, which is covered with regenerative and foveolar epithelium.

The margin was well demarcated; the surface structure of the discolored lesion was relatively regular; and the color was relatively homogeneous Indigo carmine spraying: Dye spraying revealed almost no difference in the lesion’s height compared with the adjacent normal mucosa. When opened, biopsy forceps are about 5 mm wide; thus, recording an image of the lesion and forceps together is useful for measuring the lesion size objectively Case Presentations: Early Gastric Cancer 49 Diagnostic Points: A discolored mucosal lesion was visualized in the remnant stomach.

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Gastrointestinal Cancer Atlas for Endoscopic Therapy by Rikiya Fujita, Hiroshi Takahashi

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