Benign Ulcers of the Greater Curvature of the Stomach
CHARLES H. BROWN, M.D.
Department of Gastroenterology
ANTHONY D. INTRIERE, M.D.
BENIGN ulceration along the greater curvature of the pars media of the stomach is uncommon. Levin and associates1 collected from the literature 20 cases of histologically proven benign ulcers of the greater curvature and added one case of their own in 1949. Griffin2 found 32 cases of proven benign ulceration along the greater curvature in the literature to 1954, and added three cases: two of which were in the antrum and one in the pars media of the stomach. Danstrom, Lowry and Colvert3 recently reported five cases, all verified by microscopic study. This makes a total of 40 cases of benign, histologically proven, gastric ulcer along the greater curvature, exclusive of autopsy studies, which have been reported.
The percentages of gastric ulcers along the greater curvature that prove to be malignant vary considerably in different series. Silk and associates4 reported 18 patients with ulcers along the greater curvature, 10 of which were benign and 8 malignant. They commented that benign ulcer along the greater curvature often is associated with duodenal ulcer or with benign ulcer along the lesser curvature of the stomach. Boudreal and associates5 in a study of autopsy material reported that 47 of 247 gastric ulcers were on the greater curvature and that 23 of these (49 per cent) were malignant. Smith and associates6 reported that of 12 ulcers described by the pathologist as being along the greater curvature, 8 were malignant; thirteen additional ulcers, however, were described by the roentgenologist as being along the greater curvature. These . . .