INCIDENCE OF MALIGNANCY IN PREPYLORIC ULCERS
1942; American Medical Association; Volume: 120; Issue: 10 Linguagem: Inglês
10.1001/jama.1942.02830450005002
ISSN1538-3598
Autores Tópico(s)Gastrointestinal disorders and treatments
ResumoThe incidence of malignancy in gastric ulcers near the pylorus, long assumed to be disproportionately higher than that of ulcers situated elsewhere in the stomach, has become in recent years an open question. In 1925 Orator 1 found in a survey of material at von Eiselsberg's clinic that 30 per cent of prepyloric ulcers were carcinomatous whereas only 2 per cent of ulcers on the lesser curvature in the median portion of the stomach were carcinomatous, and malignancy of duodenal ulcer almost never was observed. In 1929 Haudek 2 gave his influential endorsement to Orator's conclusions. Later one of us (B. R. K.), 3 who often had heard Carman comment on the frequent occurence of malignancy in prepyloric ulcers, expressed the opinion that ulcers near the pylorus are more likely to be carcinomatous than those on or near the lesser curvature well removed from the pylorus. References could be multiplied
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