Cancer of the stomach; a clinical study of 921 operatively and pathologically demonstrated cases . Fig. 82.—Pyloric obstruction, No. 23,652—Male—Age 48. Previous History.—Clinically that of chronic, recurrent peptic previous operations demonstrated such. Abdominal Examination.—-Inde&nite ridge in mid-epigastrium. Test-meal.—Slight 12-hour food retention. Gastric extracts cream-tancolor. Poorly chymified. Total acidity, 10; free hydrochloric acid, 0;altered blood, ? (benzidin test); lactic acid-1-; Wolff-Junghans-j- test. Microscopic Examination.—Numerous bacilli of Opp
Cancer of the stomach; a clinical study of 921 operatively and pathologically demonstrated cases . Fig. 82.—Pyloric obstruction, No. 23,652—Male—Age 48. Previous History.—Clinically that of chronic, recurrent peptic previous operations demonstrated such. Abdominal Examination.—-Inde&nite ridge in mid-epigastrium. Test-meal.—Slight 12-hour food retention. Gastric extracts cream-tancolor. Poorly chymified. Total acidity, 10; free hydrochloric acid, 0;altered blood, ? (benzidin test); lactic acid-1-; Wolff-Junghans-j- test. Microscopic Examination.—Numerous bacilli of Oppler-Boas type; fewbudding yeasts. Clinical —Carcinoma following ulcer; questionably operable. X-ray Diagnosis.—Carcinoma of stomach. Plate shows tumor mass involving pyloric third, with irregular canaliza-tion of mass, but gaping pylorus, permitting rapid exit of bismuth intoduodenum and small bowel (which are visualized). Lesser curvature is alsoinfiltrated; Surgical Diagnosis.—Gastric cancer. ROENTGEN EXAMINATION IN GASTRIC CANCER 315
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