. Roentgen interpretation; a manual for students and practitioners . ^e of growth and with its location. Car-cinoma of the cardia is often difficult to visualize. In these casesit is helpful to watch the first mouthfuls of barium entering thestomach. The jet will be irregular instead of smooth and theremay be delay at the cardia. There will also be rigidity and deformityof the fundus which does not change on deep inspiration. For thisobservation the patient should lie on his Fig. 147.—Extensive malignant disease of the media and antrum. Large growths in the body and antrum are usually c
. Roentgen interpretation; a manual for students and practitioners . ^e of growth and with its location. Car-cinoma of the cardia is often difficult to visualize. In these casesit is helpful to watch the first mouthfuls of barium entering thestomach. The jet will be irregular instead of smooth and theremay be delay at the cardia. There will also be rigidity and deformityof the fundus which does not change on deep inspiration. For thisobservation the patient should lie on his Fig. 147.—Extensive malignant disease of the media and antrum. Large growths in the body and antrum are usually is a ragged annular defect which is constant at all times andin all positions. If the tumor is palpable it will be found to coincidewith the defect. Peristalsis is absent in the region of the growthand may be irregular, sluggish or reversed elsewhere. Stasis is difterentiation is from ulcer, lues, adhesions and extragastrictumors. Typical ulcers and t\T)ical carcinoma are easily distin-guishable but borderline cases are often hard to identify. Carcino- 170 GASTRO-INTESTINAL TRACT matous ulcers may, like benign ulcers, be limited to one wall andshow a rigid area of infiltration with the pocket of a crater project-ing from it. However, the crater is usually larger in carcinoma and
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