. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . Fig. 159.—Ivarge gummous ulcerated infilti-ation of entire stomach wall with tumor formation at the antrum and with stenosis. Patient, male, aged fifty-nine.(Collection of Dr. Frank Smithies.) accessory pocket or typical incisura. However, Ave should cautionagainst making a positive diagnosis on the x-ray findings alone;they are simply valuable confirmatory signs. Tumors are hardly DIAGNOSIS 533 characteristic except in one particular: it is unusual for a pa-tient with a large cancer t
. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . Fig. 159.—Ivarge gummous ulcerated infilti-ation of entire stomach wall with tumor formation at the antrum and with stenosis. Patient, male, aged fifty-nine.(Collection of Dr. Frank Smithies.) accessory pocket or typical incisura. However, Ave should cautionagainst making a positive diagnosis on the x-ray findings alone;they are simply valuable confirmatory signs. Tumors are hardly DIAGNOSIS 533 characteristic except in one particular: it is unusual for a pa-tient with a large cancer to be in as good physical condition asare the majority of patients with hypertrophic luetic syphilitic infiltration can not be distinguished from adiffuse fibrosis due to other Fig. 160.—Gummous ulcur, with hourglass. , maje, aged forty-one. (Collection of Dr. Frank Smithies.) Articles by McNeil,®^ Carman,^* Eustermann,°^ Downes andLewald,^- Christie,^ Mills^ and Morgan^-^ are well worthy ofreading. The Intestines In the intestines the same syphilitic processes may occur as intlie stomach. Tlie literature is surprisingly silent as to the x-ray 534 SYPHILIS findings. It would seem that multiplicity of ulcers might makeone suspicious. Mortimer^^ has recently reported a case of syph-ilis of the duodenum, together with an x-ray picture. Nervous System As yet there have been no reports as to the possibility of di-agnosing certain types of cerebral syphilis by the roentgen is possible that a large solitary gumma might cast a shadow,just as an occasional cerebral tumor will do. Bibliography Laboratory Diagnosis iThompson: Syphilis, Diagnosis and Treatment, 1916, p. , Melville, Lcishman, Pollock, Harrison: A Manual of Venereal Dis-eases
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