Carcinoma of the Stomach
Carcinoma of the stomach is commonly considered a hopeless condition. The rate of operability, not more than 25 per cent, has not increased during the past decade. The incidence of this lesion is rising, it attacks the stomach more frequently than any other organ in the body, except the uterus, and it has been estimated that 38,000 persons in the United States alone die annually from carcinoma of the stomach. The situation of the lesion may be such that it is well advanced before tangible symptoms occur and its removal then may be impossible.
On the other hand, in 60 per cent of our cases, the lesion was situated in the pyloric third of the stomach. When the lesion occurs in this area, it usually causes characteristic symptoms early in the course of the disease. Early diagnosis and resection are possible.
Since the roentgen examination is established as the most important procedure in the detection of an early lesion, we believe the chief means of making advancement in treatment, that is, to increase the rate of operability, is to demand a reliable roentgen examination in the presence of less clinical evidence than has been the custom in the past.
Most of our patients with gastric carcinoma had had symptoms 6 to 12 months before a reliable roentgen examination was made. Since most of these patients had lesions in the resectable area of the stomach, the pyloric third, roentgen examinations, made earlier in the course of the disease, should have resulted. . .