Value of roentgenograms in the diagnosis and prognosis of carcinoma of the stomach.
Roentgenograms of the chest and abdomen of 102 patients with proved carcinomas of the stomach were studied regarding diagnosis, dissemination, resectability and survival. The three main signs looked for were changes in tone, distortion of fundic gas bubble and an increase in the fundus to lung base distance. Positive diagnoses were reached in 78.4 per cent of the patients with carcinoma in the upper part of the stomach but in only 29.4 per cent of all patients being studied. Of 29 patients with positive diagnostic criteria for proximal gastric growth, 24 had distant metastases, resection being possible in only seven; 27 did not survive beyond three months. Of eight patients with negative diagnostic criteria for carcinoma of the proximal part of the stomach, only one patient had proved distant metastases, four had regional lymph nodes involved and all were amenable to resection. Five have survived for more than two years postoperatively.
D005743:Gastrectomy; D006801:Humans; D009362:Neoplasm Metastasis; D011379:Prognosis; D013902:Radiography, Thoracic; D013274:Stomach Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery