History

Cancer of the Stomach

Name: Cancer of the Stomach
Author: Frank Smithies
ISBN: 9781236366337

by Frank Smithies

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Synopsis

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1916 Excerpt: ...or gobs. Above neoplasms at the cardia there may be extensive dilatation or the esophagus may even be infiltrated by the tumor. When the growth is high in the lesser curvature, the lumen is usually encroached upon in a characteristic way. If, however, the growth is not very soft or papillomatous the outline of the lesser curvature may be fairly regular. The resultant appearance then may be difficult to differentiate from a normal lesser curvature pushed to the left by an extragastric tumor (liver, gall-bladder, pancreas, retroperitoneal sarcoma). In this event an examination of the patient in different positions will often serve to delimit the esophagus. It may even be infiltrated by the tumor. When the growth is situated in the body or the pars media of the stomach, fluoroscopic examination usually makes evident local narrowing of the gastric lumen. The extent of this depends upon the size of the neoplasm. Often, hourglass loculation is seen. Occasionally, several gastric chambers are apparent, partly or wholly filled with the shadow-casting substance. Not infrequently, in extensive tumor involvement, all that remains of the stomach's lumen is a narrow, usually tortuous, canal, through which the bismuth or barium mixture passes in an attenuated stream and is visible with difficulty. If such canal has between it and the screen a great mass of cancer tissue, opaque media in it may not be evident. The test-meal may then be seen in an upper (usually larger) loculus and appear again in a cavity toward the antrum or pylorus. Growths involving the antral or the pyloric region generally manifest their presence by such intrusion upon the gastric cavity as to produce partial or nearly complete obstruction to the onward passage of the bismuth or barium meal. In these...