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KMID : 0616620010070010035
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Journal of Soonchunhyang Medical College
2001 Volume.7 No. 1 p.35 ~ p.39
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Clinical Characteristics of Patients with Borrmann Type 4 Gastric Carcinoma
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Cheon Young-Koog
Kim Young-Tae
Hong Su-Jin
Kim Jin-Oh
Cho Joo-Young
Lee Moon Sung
Shim Chan-Sup
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Abstract
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Background/Aim: It is difficult to diagnosis of Borrmann type 4 gastric cancer at the early stage, because of its special morphology. Most of the cases have been detected at th advanced stage with poor survival rate. We reviewed patients with advanced gastric cancer, to define clinicopathologic characteristics of Borrmann type 4 gastric cancer comparing other types of gastric cancer.
Methods: 1033 patients with advanced gastric cancer were divided into two groups, consisting of 50 patients with Borrmann type 4 gastric cancer, and the remaining 983 patients with all other types of gastric cancer, which were then compared clinicopathologically.
Results: The proportion of Borrmann type 4 gastric cancer to advanced gastric cancer was 4.48%(50/1.033). The patients with Borrmann type 4 gastric cancer were composed 20 males and 30 males and revealed the highest frequency 3rd decade (24.0%) in age (range 26-78). In giant folds group (n=27), the number of poorly differentiated cell type, lymph node metastasis, peritoneal seeding were 20 (74.1%), 17 (63.0%), 12 (44.4%). In non-giant folds group (n=23), the number of poorly differentiated type, lymph node metastasis, peritoneal seeding were 17 (73.9%), 15 (65.2%), 6 (26.1%). Rete of tumor invasion in serosa and beyond serosa was 88.9% in giant fold group, 63.0% in non-giant fold group. Surgery was performed in only 32% as a modality of treatment (vs. 82.5%). Characteristics findings of Borrmann type 4 gastric cancer in EUS showed a thickening of the third (submucosa) and fourth (muscularis propria) layers in 72% of 50 patients, and a well preserved five-layered gastric wall structure in 33 patients.
Conclusions: We concluded that Borrmann type 4 gastric cancer was diagnosed more in females, as a more advanced disease, early detection was needed. And endoscopic ultrasonography is useful for diagnosis of Borrmann type 4 gastric cancer in the cases of suspicious results of gastroscopy.
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KEYWORD
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Gastric Cancer, Borrmann type 4
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