J Korean Radiol Soc.  1979 Dec;15(2):399-404. 10.3348/jkrs.1979.15.2.399.

X-ray diagnosis of esophageal cancer and application of Borrmann's classification

• Chin SY

• KMID: 2349394
• DOI: http://doi.org/10.3348/jkrs.1979.15.2.399

Abstract

In 126 cases who were diagnosed as esophageal cancer and treated by radiation at Cancer Research Hospital, K.A.E.R.I., from Jan. 1974 to July 1979, a study onthe X-ray diagnosis of esophageal cancer was carried out mainlyas to the type classification. The ordinary classification of esophageal cancer by X-ray picture was reviewed and Borrmann's classification using in gastric cancer was tried to apply to the macroscopic classification of esohageal cancer, and also the application of this classification to X-ray diagnosis was discussed. And the effectof radiotherapy as to each type of cancer according to the ordinary X-ray classsification and Borrmann's classification was studied too. The results were as follows; 1. The ordinary X-ray classification was not simple,because the degree of progression of cancer, difference of mural invasion, and position and method of radiography could make misinterpretation of the type of cancer and the therapeutic effect by radiation as to each type according to this classification did not represent a significant characteristics too, although the radiation wasmost effective in the polypoidal type and least effective in funnel type. 2. The Borrmann's classifiation was relatively easy even on the radiogram because of little overlapping between each type and the type became moreevident on the resected specimen after operation. And also some correlation was recognized between the type ofBorrmann's classification and radiotherapeutic effect. The effect was best in type I and it was gradually decreased in type II, III, IV in the order. The radiotherapy was ineffective in about three quarters of type IV.3. The Borrmann's classification is now employed to the carcinoma of large bowel, as well as to the gastriccancer. If it is applied to the esophageal cancer, the macroscopic classsfication for the cancer of digestive tract can be systemized and it will be convenient in clinical study.

MeSH Terms

Classification*
Clinical Study
Diagnosis*
Esophageal Neoplasms*
Gastrointestinal Tract
Methods
Radiography
Radiotherapy
Stomach Neoplasms