. Diseases of the stomach : including dietetic and medicinal treatment . bited the stomach, ileum, and colon of a patientas an example of linitis ])lasti(a. Discussion arising as to the com])lctc-ncss of tiiis examination, lie made a further search and found a small Arc-yiiv. de niwi. expt-r., 190S; also Bull, ct iriciii. dc la Soc. anal., 1909, No. 1,p. 14; also Bull, ot mem. Soc. anal, do Paris, 1909, No. 3. NATURE AND PATHOGENESIS 77 area which was distinctly carcinomatous. Although the argument isnot conclusive, it may be said that in a number of instances whatseemed to be indubitable fibr
. Diseases of the stomach : including dietetic and medicinal treatment . bited the stomach, ileum, and colon of a patientas an example of linitis ])lasti(a. Discussion arising as to the com])lctc-ncss of tiiis examination, lie made a further search and found a small Arc-yiiv. de niwi. expt-r., 190S; also Bull, ct iriciii. dc la Soc. anal., 1909, No. 1,p. 14; also Bull, ot mem. Soc. anal, do Paris, 1909, No. 3. NATURE AND PATHOGENESIS 77 area which was distinctly carcinomatous. Although the argument isnot conclusive, it may be said that in a number of instances whatseemed to be indubitable fibrosis of benign character at operationpresented later clinical and pathological proof of malignancy. Woolsey,for example, reported a case of supposed linitis plastica, for which agastro-enterostomy was done, with apparent restoration to two years, however, the patient died of cancer. It may beurged that in such cases carcinomatous degeneration occurred as alate event analogous to the development of malignancy at the base ofa chronic gastric ulcer. Fig. 14. Linitis plastica. Those who assert that gastric cirrhosis is identical with a form ofscirrhous cancer, support their view by the presence of analogouslesions in other parts of the alimentary tract, in the ileum, colon,rectum, peritoneum, and retroperitoneal tissues. These accessorylesions, considered by them to be due to a retrograde lymphatic involve-ment, suggest a cancer origin even though no cancer nests are actuallydiscovered in the wall of the stomach itself. On the other hand, so-called cancer elements may be simulated by distorted glandular tubulesinfolded by dense masses of connecting tissue assuming somewhatan adenomatous structure, or by cells which result from proliferationof the endothelium lining the normal lymph spaces. It has beenthought by some that the embryonic nature of the growth has been 78 CIRRHOSIS OF THE STOMACH suggestive of sarcoma. It is this uncertainty that makes it difficultto state
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