The positive and negative diagnosis of gastric cancer by means of serial roentgenography / by ewis Gregory Cole, M.D., Professor of Röntgenology, Cornell University Medical College, New York.

  • Cole, Lewis Gregory, 1874-1954
Date:
[1914]
Catalogue details

Licence: In copyright

Credit: The positive and negative diagnosis of gastric cancer by means of serial roentgenography / by ewis Gregory Cole, M.D., Professor of Röntgenology, Cornell University Medical College, New York. Source: Wellcome Collection.

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    Fig. 3.—Showing fingerprint appearance; probably a malignant growth. Case III. Referred by Dr. W. Gilman Thompson. The general health of this patient was good. His gastric symp¬ toms, which had been present for four years, were attacks of pain in the left side, occurring every few days and last¬ ing several hours, loss of appetite, and a reduction in weight of twenty pounds in six weeks. Rontgenological findings and diagnosis (Fig. 3) : Two indentations presented on the lesser curvature, about three inches from the pylorus, resembling peristaltic contrac¬ tions, except that their position and size were constant Their failure to relax and contract, and to move pylorus- ward during the gastric cycle, and the fact that their con¬ tour presented slight indentations suggested a malignant nodular growth. The patient refused operation and died within six months. Conclusions: The location of the tumor rather than its size rendered this case unfavorable for removal. It of¬ fered the surgical difficulties encountered in Case xvi. As there was no evidence of pyloric obstruction or gastric retention, a palliative gastroenterostomy was not indicated.