The positive and negative diagnosis of gastric cancer by means of serial röntgenography / Lewis Gregory Cole.

  • Lewis Gregory Cole
Date:
1914
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Licence: In copyright

Credit: The positive and negative diagnosis of gastric cancer by means of serial röntgenography / Lewis Gregory Cole. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    19/30 (page 17)
    I 17 Fig. 12.—Extensive carcinoma, involving lesser curvature and gastrohepatic omentum (Case XII). Case XII. Referred by Dr. William Van Valzah Hayes. Rontgenological findings and diagnosis (Fig. 12) : The pyloric portion of the stomach was almost completely oc- cluded by a carcinoma as far back as the pars cardiaca, the greater and lesser curvatures of which showed a wormeaten contour. Surgical findings, by Dr. John Wyeth and Dr. J. Prescott Grant: ‘‘An extensive carcinoma, involving most of the lesser curvature and gastrohepatic omentum; also much of the greater curvature. It was difficult to find space for a gastroenterostomy.” Conclusions: The growth was altogether too extensive to offer any hope of removal. The interesting point to determine was whether or not to attempt a gastroenteros- tomy. The small amount of normal tissue, which the rontgenograms defined with remarkable accuracy, as opera- tion proved, would lead me in the future to urge against any attempt at surgical treatment, even a gastroenteros- tomy. Deaths immediately following operations immeas- urably increase the percentage of mortality from surgical procedure. Such fatalities prevent many patients from consenting to an operation which would mean their salva- tion.