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Cancer of the stomach; a clinical study of 921 operatively and pathologically demonstrated cases . s in 1 year. Abdominal E.xamination.—Dulness in Traubes space. In upper mid-epigastrium a large thick tumor is palpated. Stomach holds 23 ounces,greater curvature is 3 finger breadths below the navel line. Test-meal.—100 cc. of tan and brown poorly chyniified material removedafter 57 minutes. Marked bleeding on manipulation of tube. ^Moderateamount of previous evening meal recovered. Very free hemorrhage onlavage. Total acidity, 22; free hydrochloric acid. 0; altered blood + (benzi-din test;) Wol
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Cancer of the stomach; a clinical study of 921 operatively and pathologically demonstrated cases . s in 1 year. Abdominal E.xamination.—Dulness in Traubes space. In upper mid-epigastrium a large thick tumor is palpated. Stomach holds 23 ounces, greater curvature is 3 finger breadths below the navel line. Test-meal.—100 cc. of tan and brown poorly chyniified material removedafter 57 minutes. Marked bleeding on manipulation of tube. ^Moderateamount of previous evening meal recovered. Very free hemorrhage onlavage. Total acidity, 22; free hydrochloric acid. 0; altered blood + (benzi-din test;) Wolff-Junghans test -|-; lactic acid. 0. Microscopic Examination.—Oppler-Boas bacilli. Alany short bacilliin pairs. Numerous red blood cells and food remains. Clinical Diagno.ns.—Extensive inoperable gastric cancer with involvementof cardia. X-ray Diagnosis.—Probable carcinoma of the stomach. Plate shows steer-horn stomach with moderate ptosis and extensive fillingdefects in the region of the body, antrum and pylorus. Surgical Diagnosis.—Inoperable carcinoma. 298 CANCER OF THE STOMACH. Fig. 71.—(Case No. 19, 359).—Extensive cancer of stomach with fillingdefects at pars media and pyloric end. Pylorus is displaced to the left. Itis patent. Duodenum visualized and dilated. EOEXTGEX EXAMINATION IX GASTRIC CAXCER 299
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