Microvascular architecture of early gastric carcinoma. Microvascular–histopathologic correlates

Yosuke Adachi, Masaki Mori, Munetomo Enjoji, Keizo Sugimachi

Research output: Contribution to journalArticlepeer-review

32 Citations (Scopus)

Abstract

Background. Gastric carcinoma is clinicopathologically divided into differentiated and undifferentiated types. The former is grossly protuberant and often causes hematogenous metastasis to the liver or lung, whereas the latter is mostly depressed or ulcerated from its early stage and rarely causes blood‐borne metastasis. The purpose of this study is to clarify the microvascular architecture of early gastric carcinoma with reference to the histologic subtypes. Methods. A silicone rubber compound (Microfil) injection method with a methyl salicylate clearing technique was used in 32 resected early gastric carcinomas. The microvascular architecture was observed both in the carcinoma and its surrounding noncancerous tissue in each specimen under a stereomicroscope and light microscope. Results. Compared to the surrounding normal mucosa, the differentiated carcinomas (DC) mostly were hypervascular (24%) or normovascular (65%), whereas the undifferentiated carcinomas (UC) often were hypovascular (60%). Irregularity of tumor vessels (67%) and an arcade‐like appearance (33%) was encountered frequently in UC, whereas hypervascularity of the surrounding noncancerous mucosa (29%) often was noticed in DC. Quantitative analysis, including vascular volume, mean vascular diameter, and cut section area, supported these differences between DC and UC. Conclusions. The results suggest that vascular structures of gastric carcinomas are characteristic with regard to their histologic subtypes; DC is normovascular or hypervascular, whereas UC is hypovascular. Cancer 1993; 72:32–6.

Original languageEnglish
Pages (from-to)32-36
Number of pages5
JournalCancer
Volume72
Issue number1
DOIs
Publication statusPublished - Jul 1 1993

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

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