. The American journal of roentgenology, radium therapy and nuclear medicine . Fig. 2. Diagram made from Drawings of Gross Sections of Specimens showing Various Shaped CratersOF Chronic Gastric Ulcers. The drawings are made to the same scale and the straight lines representone centimeter. The mucosa and mnscularis are shown by shading. swer—Yes. 3. Can we state always clinicallypositively whether a gastric nicer is or is notcarcinomatous? Answer—No. 4. At explora-. Fig. 3. Diagram of the Stomach showing the area(shaded) in which simple and carcinomatousgastric ulcers usually occur. tion can we
. The American journal of roentgenology, radium therapy and nuclear medicine . Fig. 2. Diagram made from Drawings of Gross Sections of Specimens showing Various Shaped CratersOF Chronic Gastric Ulcers. The drawings are made to the same scale and the straight lines representone centimeter. The mucosa and mnscularis are shown by shading. swer—Yes. 3. Can we state always clinicallypositively whether a gastric nicer is or is notcarcinomatous? Answer—No. 4. At explora-. Fig. 3. Diagram of the Stomach showing the area(shaded) in which simple and carcinomatousgastric ulcers usually occur. tion can we alwa}S state grossly whether agastric ulcer is or is not carcinomatous. An-swer—No. 5. Without the power of alwaysgrossly differentiating simple chronic gastriculcer from carcinomatous ulcer, and posi-tively knowing that a chronic gastric ulceractually exists, what positive logical practi-cal advice can be given? Answer—Considerthe possibility of a chronic gastric ulcer be-ing carcinomatous; excise or resect the ul-cer and submit the specimen to a well trainedsvugical cyto-pathologist. 6. In view of thefacts regarding the frecj[uent association ofcarcinoma with chronic gastric ulcer, andour inability always grossly to differentiatethe two conditions, what would we wantto have done therapeutically if we pos-sessed the ulcer, especially in view of the factthat extensive removal of a malignant neo-plasm such as carcinoma has been demon-strated repeatedly
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