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Unusual Gastric Lesions: Clinical Features

Unusual Gastric Lesions: Clinical Features Abstract In a series of gastric tumors in 60 military patients, carcinoma of the stomach occurred most frequently. A variety of benign tumors became evident. Unusual clinical features and associated conditions in our group are described to acquaint the clinician with the early, or incipient, gastric neoplasm. Included are: (1) linitis plastica with situs inversus and Krukenberg's tumor, (2) gastric leiomyoma, (3) gastric carcinoma and gastric neurofibroma, (5) late development of gastric cancer post-gastrectomy for a duodenal ulcer, (6) aberrant pancreas of the stomach, and (7) trichobezoar. The triad of symptoms—dyspepsia, anorexia, and weight loss—were the most common chief complaints. Dysphagia and gastrointestinal hemorrhage also occurred. Occasionally a metastatic lesion was the first sign of a gastric malignancy. Morphologic classification of the gastric tumor is illustrated from gastroscopy and barium roentgenograms to aid the clinician in estimating the clinical behavior of the lesion. To further insure an earlier diagnosis of gastric References 1. Krukenberg, F.: Ueber das Fibrosarcoma Ovarii Mucocellulare (Cärcinomatodes) , Arch Gynaek 50:287-297, 1896.Crossref 2. Fonkalsrud, E.W.; Thompkins, R.; and Clatworthy, W.H.: Abdominal Manifestations of Situs Inversus in Infants and Children , Arch Surg 92:791-795 ( (May) ) 1966.Crossref 3. Skandalakis, J.E.; Gray, W.M.; and Shepard, D.: Smooth Muscle Tumors of the Stomach , Int Abstr Surg 110:209-226 ( (March) ) 1960. 4. Bishop, R.P., and Lukash, W.M.: Aberrant Pancreas of the Stomach with Radiograpic and Endoscopic Findings , Amer J Gastroent 47:421-426 ( (May) ) 1967. 5. Bockus, H.L.: Gastroenterology , Philadelphia: W. B. Saunders Co., 1963, vol 1, p 161. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Unusual Gastric Lesions: Clinical Features

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Publisher
American Medical Association
Copyright
Copyright © 1969 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1969.01340120129024
Publisher site
See Article on Publisher Site

Abstract

Abstract In a series of gastric tumors in 60 military patients, carcinoma of the stomach occurred most frequently. A variety of benign tumors became evident. Unusual clinical features and associated conditions in our group are described to acquaint the clinician with the early, or incipient, gastric neoplasm. Included are: (1) linitis plastica with situs inversus and Krukenberg's tumor, (2) gastric leiomyoma, (3) gastric carcinoma and gastric neurofibroma, (5) late development of gastric cancer post-gastrectomy for a duodenal ulcer, (6) aberrant pancreas of the stomach, and (7) trichobezoar. The triad of symptoms—dyspepsia, anorexia, and weight loss—were the most common chief complaints. Dysphagia and gastrointestinal hemorrhage also occurred. Occasionally a metastatic lesion was the first sign of a gastric malignancy. Morphologic classification of the gastric tumor is illustrated from gastroscopy and barium roentgenograms to aid the clinician in estimating the clinical behavior of the lesion. To further insure an earlier diagnosis of gastric References 1. Krukenberg, F.: Ueber das Fibrosarcoma Ovarii Mucocellulare (Cärcinomatodes) , Arch Gynaek 50:287-297, 1896.Crossref 2. Fonkalsrud, E.W.; Thompkins, R.; and Clatworthy, W.H.: Abdominal Manifestations of Situs Inversus in Infants and Children , Arch Surg 92:791-795 ( (May) ) 1966.Crossref 3. Skandalakis, J.E.; Gray, W.M.; and Shepard, D.: Smooth Muscle Tumors of the Stomach , Int Abstr Surg 110:209-226 ( (March) ) 1960. 4. Bishop, R.P., and Lukash, W.M.: Aberrant Pancreas of the Stomach with Radiograpic and Endoscopic Findings , Amer J Gastroent 47:421-426 ( (May) ) 1967. 5. Bockus, H.L.: Gastroenterology , Philadelphia: W. B. Saunders Co., 1963, vol 1, p 161.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jun 1, 1969

References