Cancer of the stomach; a clinical study of 921 operatively and pathologically demonstrated cases . Fig. 60.—-Benign pyloric No. 22,583—Male—Age 63. History of progressive gastric ulcer with recent obstruction; dilatationof stomach and weight loss. Abdominal Examination.—Marked tenderness to right of Test-meal.—Pronounced 12-hour retention; tan color extracts with yeastyodor. Total acidity, 68; free hydrochloric acid, 63; altered blood + (Benzidintest). Microscopic Examination.—Great numbers of yeasts and sarcinse. Clinical Diagnosis.—Pyloric obstruction, subacute perfo
Cancer of the stomach; a clinical study of 921 operatively and pathologically demonstrated cases . Fig. 60.—-Benign pyloric No. 22,583—Male—Age 63. History of progressive gastric ulcer with recent obstruction; dilatationof stomach and weight loss. Abdominal Examination.—Marked tenderness to right of Test-meal.—Pronounced 12-hour retention; tan color extracts with yeastyodor. Total acidity, 68; free hydrochloric acid, 63; altered blood + (Benzidintest). Microscopic Examination.—Great numbers of yeasts and sarcinse. Clinical Diagnosis.—Pyloric obstruction, subacute perforating ulcer. X-Ray Diagnosis.—Pyloric obstruction. Plate shows fish-hook stomach; vigorous peristalsis; bulbous antrumand dilated duodenum. Surgical Diagnosis.—Pyloric ulcer with obstruction. 272 CANCER OF THE STOMACH. Fig. 61.—Pyloric obstruction; duodenal ulcer; deficient visualization of pylorus and duodenum; malignancy A. Z.—Age 40. Family History.—Negative. Previous History.—Pneumonia as a youth. Comes on account of chronic indigestion and chronic constipation. Duration of Disease.—Has had dyspepsia all of his life in infrequent attacks always came on gradually and were characterized by epigas-tric distress 2 to 3 hours after meals and particularly at night. The distresswas usually a burning sensation and occasionally he has had cramps. Thepain usually lasted several hours and was frequently transmitted to the pre-cordia. The pain was aggravated by body movement and relieved bylimiting the amount of his diet, gastric lavage, rest or by pear would come on regularly at night if the stomach was not lavaged ROENTGEN EXAMINATION IN GASTRIC CANCER 273 make up the bulk of instances of surgically curable cancer,Roentgen examination fails as a clini
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