胃と腸57巻8号

2022年07月発行

今月の主題 転移性消化管腫瘍

主題

転移性胃腫瘍の画像診断・形態学的特徴—乳癌胃転移を中心に

著者： 荒尾真道¹² 髙田淳¹ 井深貴士¹ 酒々井夏子³ 上堂文也⁴

所属機関： ¹岐阜大学医学部附属病院第一内科 ²岐阜赤十字病院消化器内科 ³岐阜大学医学部附属病院病理診断科 ⁴大阪国際がんセンター消化管内科

ページ範囲：P.1007 - P.1017

文献概要

要旨●転移性胃腫瘍は他臓器の原発腫瘍が，胃に転移した病変の総称である．本稿では，転移性胃腫瘍について既報における剖検例，および自験例における内視鏡所見と病理組織学的所見を検討した．また，乳癌の転移性胃癌についてシステマチックレビューを行った．乳癌の胃転移は，肉眼型は4型進行癌様を54.1%で呈し，U・M・L領域のどの部位にもみられ（U領域38.0%，M領域31.3%，L領域46.4%），内視鏡的，病理組織学的にも原発性胃癌と類似する病変が多かった．転移性胃腫瘍は全体的にU・M領域を好発部位とし，粘膜下腫瘍様形態を呈することが多く，乳癌の胃転移は転移性胃癌の中でも他の癌腫と異なる特徴を持つことが示唆された．

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