Cancer of the stomach : a clinical study . When he turned on the right side the tumour fellover, so that the left border was beyond the median line, and thetumour could be felt beyond the right nipple line. Fig. 6 illustratesthe positions into which the growth could be placed. STUDY OF THE TUMOUR 65 Feb. 28th.—Operation (Dr. Halsted). Large massive tumour ofanterior wall of stomach was found, which did not involve the pylorus,but left it and a zone of almost 3 or 4 cm. quite free. March 29th.—The wound is well healed, and the mass occupies theleft hypochondriac region—extending to the tip of t
Cancer of the stomach : a clinical study . When he turned on the right side the tumour fellover, so that the left border was beyond the median line, and thetumour could be felt beyond the right nipple line. Fig. 6 illustratesthe positions into which the growth could be placed. STUDY OF THE TUMOUR 65 Feb. 28th.—Operation (Dr. Halsted). Large massive tumour ofanterior wall of stomach was found, which did not involve the pylorus,but left it and a zone of almost 3 or 4 cm. quite free. March 29th.—The wound is well healed, and the mass occupies theleft hypochondriac region—extending to the tip of tenth rib, and belowjust to the level of the navel. To the right it extends a little beyondthe median line, and above to within two fingers breadth of the levelof the ensiform. Its mobility is quite as marked as before. It can bepushed over to the right so that the right border is in the mid-axillaryline, and all but a small portion of the tumour is to the right of themiddle line. The mass has apparently not increased much in Fig. 6 (Case No. 107).—To illustrate the mobility of atumour of the anterior stomach wall. No. 114 showed a large visible mass in the right moved markedly with inspiration. It could be pushed com-pletely to the left of the median line. When the patient lay onthe right side the mass was quite to the right of the median line,and when he turned on his left side the tumour fell back underthe left ribs and could not be felt. It was also very movablewith inflation. No. 115 showed the effects of respiration, mechanical move-ment, inflation and position on the mobility of the tumour. Themass was visible in the right epigastrium on inspection. Itdescended several inches with inspiration, and on inflation of thestomach the tumour moved across the middle line from the left 5 66 CANCER OF THE STOMACH to the right epigastric region. Grasped in the hand, it could bepushed upwards to the left, so that its right border crossed themedian line.
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