Ulcer simulating gastric carcinoma. I. Diagnostic considerations and treatment.
Small ulcer-simulating carcinomas accounted for 3.9% (48 cases) of the 1324 patients with carcinoma of the stomach treated at the Second Department of Surgery, University Centtive of a malignant ulcer in 52% of the cases whereas gastroscopy combined with exfoliative gastric cytology gave 73% correct results. In spite of preoperative suspicion of malignancy most patients were operated on as for a benign ulcer. Partial distal gastrectomy without splenectomy was performed in 93% of the patients. There was no hospital mortality. The 5-year survival rate by the actuarial method was 63%.
D000328:Adult; D000367:Age Factors; D000368:Aged; D001789:Blood Group Antigens; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000175:diagnosis; D011379:Prognosis; D012737:Sex Factors; D013274:Stomach Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D013276:Stomach Ulcer / Q000150:complications; D013997:Time Factors
D001789:Blood Group Antigens