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Abstract The lesion causing approximately half of the deaths from cancer and 3 per cent of all the deaths in this country, with a mortality rate that increases in spite of continued study, cannot be overstressed. Fair advances are being made in the attack on the problem of cancer in general. Cancer of the stomach practically alone remains with an increasing death rate. The reason is at once apparent. The incidence is high, and the diagnosis is perhaps the most difficult one to make at the present time. The symptomatology is so variable as to be often valueless, and particularly is this true in the early stage when the cancer is eradicable. While roentgen diagnosis of the cancer has been greatly improved, the dependence on this very procedure perhaps contributes as much to the incidence of advanced cases as any other factor. The difficulty of arriving at a definite diagnosis by References 1. Cramer, W.: Cancer of the Stomach , Lancet 1:1 ( (Jan. 6) ) 1934.Crossref 2. Rowlands, R. P.: Cancer of the Stomach , Brit. M. J. 1:905 ( (May 27) ) 1933.Crossref 3. Babcock, W. W.: Text-Book of Surgery , ed. 2, Philadelphia, W. B. Saunders Company, 1935 4. DaCosta, J. C.: A Manual of Modern Surgery , Philadelphia, W. B. Saunders Company, 1933. 5. Balfour, D. C.: Curability of Cancer of Stomach , Surg., Gynec. & Obst. 54:312 ( (Feb.) ) 1932. 6. Comfort, M. W., and Vanzant, R. R.: Gastric Acidity in Cancer of Stomach , Proc. Staff Meet., Mayo Clin. 8:271 ( (May 3) ) 1933. 7. Bloomfield, A. L.: Early Cancerous Changes in Peptic Ulcer , J. A. M. A. 104:1197 ( (April 6) ) 1935. 8. (a) Benedict, E. B.: Examination of Stomach by Means of Flexible Gastroscope , New England J. Med. 210:669 ( (March 29) ) 1934. 9. (b) Benedict, E. B., and Allen, A. W.: Adenomatous Polypi of the Stomach , Surg., Gynec. & Obst. 58:79, 1934. 10. Jackson, Chevalier, and Jackson, C. L.: Personal communication to the author 11. Peroral Gastroscopy , J. A. M. A. 104:269 ( (Jan. 26) ) 1935 12. Bronchoscopy, Esophagoscopy and Gastroscopy , Philadelphia, W. B. Saunders Company, 1934. 13. Schindler, R.: Ein völlig ungefährliches flexibles Gastroskop , München. med. Wchnschr. 79:1268, 1932. 14. Jackson, C. L.: The Use of the Flexible Gastroscope (Address to New York Gastro-Enterological Society, 1935). 15. Gruskin, B.: A Serum Test for the Diagnosis of Cancer Based on a New Theory of Etiology , Am. J. M. Sc. 177:476 ( (April) ) 1929. 16. Bacon, Harry E.: Gruskin Test in Carcinoma of Rectum, Anus and Colon , Tr. Am. Proct. Soc. 34:149, 1933. 17. Gruskin, B.: Personal communication to the author.
Archives of Surgery – American Medical Association
Published: Jul 1, 1936
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