1993 Volume 35 Issue 3 Pages 463-473_1
Forty-seven cases with early gastric cancer (adenocarcinoma) in the cardia were divided into two groups, 17 cases with the center of cancer at less than 1 cm from the esophagogastric junction (EGJ) (Group I) and 30 cases with the center of cancer at 1 to 2 cm from EGJ (Group II) and clinicopathological characteristics and endoscopic findings between the two groups were compared. Clinicopathological caracteristics: The characteristics common in the two groups were high prevalence in elderly males; predominance of differentiated type; high incidence in the lesser curvature and posterior wall; higt incidence of concurrent lesions in the stomach; and general progression of cancer in the mucosa toward the shorter axis of the stomach in a blet. Differences between the two groups were predominance of elevated type in Group I and depressed type in Group II; high sm rate (53%) and a tendency toward sm invasion when the size exceeded 1 cm regardless of macroscopic findings in Group I; high esophageal invasion rate in Group I as expected and high incidence of concurrent ulcers in Group II. Endoscopic findings: There was no difference in those two groups the color of depressed type cancer was usually red in both Groups I and II regardless of the depth of invasion. Some parts of lesions were associated with hemorrhage and white coat. The surface was usually smooth in most cases.
