Ewing1 in 1913 was probably the first to divide lymphosarcoma into two histologic types, (1) the malignant lymphocytoma (small round cell sarcoma) and (2) the reticulum cell sarcoma (large round cell sarcoma). It was his belief that the former originated from the lymphocyte, and the latter from the reticulum cells of the germ centers of the lymph follicles and pulp cord. Kundrat2 was the first to isolate lymphosarcoma from other lymphatic diseases and describe its clinical characteristics.
Sarcoma of the small intestine is rare. According to some writers3 lymphosarcoma is one of the more common sarcomas of the gastrointestinal tract. Chont,4 in a review of specimens from 2250 necropsies and 20,603 surgical operations at the University of Oklahoma Hospital, found only 8 tumors of the small intestine, 4 of which were sarcomas.
In a review of the literature up to June 1, 1919 Graves5 reported 166 cases of sarcoma of the small intestine. Ullman and Abeshouse6 collected 77 additional cases up to 1932. In August 1941 Frank, Miller and Bell7 collected 114 cases reported in the previous ten years and added 4 more.
A white woman, aged 58, seen on January 7, 1944, complained of loss of appetite of two months’ duration, vomiting for three weeks, and pain in the abdomen for several weeks. Apparently she was in good health until six months before admission, when she began to complain of a feeling of fulness and a dull, aching pain in the epigastrium. About four months later her. . .