. The American journal of roentgenology, radium therapy and nuclear medicine . minute carcino-matous growths. The stomach and transversecolon were matted together so that it wasimpossible to determine the primar)- seat of tion was removed for microscopic examina-tion from the infiltrated omentum. Microscopical examination reported byDr. L. C. Knox. Section consisted of fatty 172 Leather-Bottle Stomach tissue with extensive prockictive inflamma-tion and large collections of lymphocytes,and throughout this a few infiltrating car-cinomata cells. The cells were rather smalland were found in small
. The American journal of roentgenology, radium therapy and nuclear medicine . minute carcino-matous growths. The stomach and transversecolon were matted together so that it wasimpossible to determine the primar)- seat of tion was removed for microscopic examina-tion from the infiltrated omentum. Microscopical examination reported byDr. L. C. Knox. Section consisted of fatty 172 Leather-Bottle Stomach tissue with extensive prockictive inflamma-tion and large collections of lymphocytes,and throughout this a few infiltrating car-cinomata cells. The cells were rather smalland were found in small groups onlv, butthe nuclei were large, hyperchromatic. andshowed numerous mitoses. There was notendency to form glands and no evidence as aged sixty-three. The patient had sufferedfrom vomiting for several months; no foodin the vomitus. just mucus and apparentlybile. The vomiting had become almost con-tinuous and was without relation to the tak-ing of food. It was impossible to obtainstomach contents for a gastric analysis. (Thereason for this is verv evident in view of the. Fig. II. Case \. Le.\ther-Bottle Stomach Due to Carcinoma (?).Twenty-five minutes. Note small size and dumb-bell shape, very ; and compensatory dilatation of esophagus. to the possible origin of the growth. Diag-nosis: Metastatic carcinoma from from the hospital August 7. 1919- [Note: Just prior to publication of thisarticle an additional case of leather-bottlestomach has been observed. The history is asfollows:] Case V. Leather-Bottle StomachDue to Carcinoma (?).—C. AL, female. rapid emptying of the stomach shown radio-graphically. ) Wassermann negative. Roentgen examination: the lower end ofthe esophagus showed slight dilatation.(Fig. II.) The stomach was exceedinglysmall and dumb-bell shaped. (Figs. 12. 13.)The pvlorus was gaping so that the entireduodenum and upper jejunum were imme-diately filled. Moderate dilatation of theduodenum suggested some tendency to com- Leat
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