Correlation of serum pepsinogens and gross appearances combined with histology in early gastric cancer

Mitsuhiro Fujishiro, M. Oka, N. Yahagi, M. Nakamura, N. Kakushima, S. Kodashima, K. Kobayashi, T. Hashimoto, N. Yamamichi, Y. Moriyama, A. Tateishi, S. Ono, Y. Shimizu, M. Ichinose, K. Miki, M. Omata

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10 Citations (Scopus)


The correlation between serum pepsinogen (PG) levels and the gross types was investigated in 128 consecutive patients with early gastric cancer. Although there was no significant difference in age, gender, cancer location, or cancer depth among gross appearances, the distribution of histological type was significantly different between polypoid and depressed cancers: all polypoid cancers except one were intestinal type, whereas nearly a third of depressed cancers were diffuse type. All the patients in whom Helicobacter pylori status was investigated had Helicobacter pylori infection. Combination of gross appearances and histology (polypoid cancer with intestinal type, depressed cancer with intestinal type and depressed cancer with diffuse type) showed a clear difference in distribution of serum PG levels and a ratio between levels of PG I and PG II (I/II ratio). In polypoid cancer with intestinal type, a PG I level and a I/II ratio were significantly lower than those of the others. In depressed cancer with diffuse type, PG I and PG II levels were significantly higher. These findings revealed that backgrounds such as intragastric acidity and extent of gastric atrophy might differ among early gastric cancers with different morphology and histology.

Original languageEnglish
Pages (from-to)207-212
Number of pages6
JournalJournal of Experimental and Clinical Cancer Research
Issue number2
Publication statusPublished - 2006 Jun
Externally publishedYes


  • Early gastric cancer
  • Gross type
  • Histological type
  • Pepsinogen

ASJC Scopus subject areas

  • Oncology
  • Cancer Research


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