Sajous's analytical cyclopædia of practical medicine . decreases and groups 1 and ual change in the gastric chemis-2 increase proportionately. try, with sudden or gradual loss of The symptoms vary with the to- weight. While constipation is morepography and nature of the growth, frequent, diarrhea may occur, withAgain, the course varies according foul, putrid stools and signs of see-to whether the patient has been pre- ondary intestinal Again,viously in perfect health or whether vomiting may be the first symptomthe growth is engrafted on the ulcer, witnessed. 326 STOMACH, CANCER OF
Sajous's analytical cyclopædia of practical medicine . decreases and groups 1 and ual change in the gastric chemis-2 increase proportionately. try, with sudden or gradual loss of The symptoms vary with the to- weight. While constipation is morepography and nature of the growth, frequent, diarrhea may occur, withAgain, the course varies according foul, putrid stools and signs of see-to whether the patient has been pre- ondary intestinal Again,viously in perfect health or whether vomiting may be the first symptomthe growth is engrafted on the ulcer, witnessed. 326 STOMACH, CANCER OF (REHFUSS). Often the symptoms are so mildthat the patient hesitates to consulta physician until the disease is prac-tically inoperable. On the whole, the wise physicianshould realize, in the presence ofany of these symptoms during thecancer age, the necessity for acareful and exact study of gastric func-tion and zi^ill not zvait for the de-velopment of the characteristic picturewhich, when found, indicates that theprocess is already too far Frequency of carcinoma in different parts of thestomach. (After Smithies table; 854 cases.) Tumor.—In about 50 to 60 per cent,of cases a tumor is found (95 per cent,of gastric tumors are carcinomatous—Graham: collected papers, St. MarysHosp., Mayo Clinic, p. 180, 1913).In some cases hepatic disease orwidespread lymph-node involvementcan be determined. Pyloric cancerwiith gastric dilatation can easily bedemonstrated, but the findings ofearly gastric carcinomata are prac-tically limited to those of the labora-tory and the X-ray. Laboratory Diagnosis.—While nodefinite pathognomonic methods have as yet been elicited, there are certainphenomena of great diagnostic im-portance. Examination of the stom-ach is made particularly by means ofthe test-meal and its many modifica-tions. One should investigate thefollowing: (1) the empty stomach;(2) gastric motility; (3) gastric se-cretion ; (4) presence of substancesindicative of neoplas
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectmedicine, bookyear190
