. Radiography and radio-therapeutics . Fig. 302.—Situations of tumour in the stomach. (1) Tumour situated near the cardiac end of thestomach. The stomach in this case contained bismuthfood twenty-four hours after ingestion. There wasno pyloric obstruction found at the operation. (2) Large carcinoma involving lesser 301.—Illustrating the appearances seen The stomach emptied rapidly in this case. A large in carcinoma at pyloric end of stomach. tumour was found converting the lumen of theThe shaded area represents the tumour. stomach into a funnel-shaped channel. Position of the Tu
. Radiography and radio-therapeutics . Fig. 302.—Situations of tumour in the stomach. (1) Tumour situated near the cardiac end of thestomach. The stomach in this case contained bismuthfood twenty-four hours after ingestion. There wasno pyloric obstruction found at the operation. (2) Large carcinoma involving lesser 301.—Illustrating the appearances seen The stomach emptied rapidly in this case. A large in carcinoma at pyloric end of stomach. tumour was found converting the lumen of theThe shaded area represents the tumour. stomach into a funnel-shaped channel. Position of the Tumour.—When situated in the pyloric portion there maybe decided evidence of a narrowing of the pyloric canal, accompanied by dilatation and tortuosity of that part J X/ V. / of the stomach. In rare instances an I > ^rx / irregular outline of the tumour may r—^ j^ /Narrow ^^ shown. The position of the stomach Corpus. faint Shadow,of New Growth generally higher in the abdomenthan in the case of pyloric obstructiondue to chronic ulcer. As referred toelsewhere, the degree of dilatation ofthe stomach in mahgnant disease isless marked, partly because of themuch shorter history and from theinability of the patient to take food. Carcinoma of the Cardiac End ofthe Stomach.—This is a condition whichmay also involve the lower end of theoesophagus. A stricture may be foundat the cardiac orifice, or a completeocclusion of the opening. These maybe demonstrated by the use of the barium meal. The presence of a tumour of the stomach may be readily shown, or it Fig 303. —Obstruction at pylorus due to newgrowth. Operable. CANCER OF THE STOaiACH 355 may be suspected by the variations in the behaviour of the organ after thebismuth meal has been taken. In some instances when the growth is situatedat the pylorus, there may be a considerable delay in the emptying of thestomach. This may be of some duration, but as a
Size: 1474px × 1695px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bo, bookauthorknoxrobert18681928, bookcentury1900, bookdecade1910
