Sarcoma of the Stomach
Sarcoma of the stomach is a rare lesion which comprises from 1 to 2 per cent of all gastric neoplasms and which may cause considerable difficulty in diagnosis. The clinical evidence may suggest the presence of carcinoma, but the roentgenologist may find no evidence of neoplasm. In dealing with an obscure diagnostic problem, a consideration of the rare possibility of sarcoma and its different pathologic process from that found in carcinoma, may result in earlier diagnoses and explorations. The operability and curability of sarcoma appear to be greater than is the case with carcinoma. Jones and Carmody1 of this Clinic reported a case in which the patient is entirely well nineteen years after gastric resection. Roentgen therapy has proved effective in certain types of this lesion.
The following case wherein total gastrectomy was performed emphasizes the difficulties encountered in making a correct diagnosis of sarcoma of the stomach.
A man, 55 years of age, was first seen on March 5, 1935. His chief complaints were pain in the epigastrium and loss of 20 pounds in four months. A cholecystectomy had been performed four years before. The illness for which he sought relief started five months before he was seen here, with localized epigastric pain which was dull in character and which came on immediately after eating. Roentgen examination which was made elsewhere revealed an ulcer on the lesser curvature of the stomach. Operation had been advised but was refused. The patient was then given daily 24 intramuscular injections of 4. . .