The positive and negative diagnosis of gastric cancer by means of serial roentgenography / by ewis Gregory Cole, M.D., Professor of Röntgenology, Cornell University Medical College, New York.

  • Cole, Lewis Gregory, 1874-1954
Date:
[1914]
Catalogue details

Licence: In copyright

Credit: The positive and negative diagnosis of gastric cancer by means of serial roentgenography / by ewis Gregory Cole, M.D., Professor of Röntgenology, Cornell University Medical College, New York. Source: Wellcome Collection.

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    Reprinted from the New York Medical Journal for February 14, 1914. THE POSITIVE AND NEGATIVE DIAG¬ NOSIS OF GASTRIC CANCER BY MEANS OF SERIAL ROENT¬ GENOGRAPHY. By Lewis Gregory Cole, M. D., Professor of Rontgenology, Cornell University Medical College. New York, The value of an early positive diagnosis of gastric cancer is evidenced by Mayo’s recent statement1 that thirty-six per cent, of gastric carcinomas have been cured by surgical procedure. His further statement that an early diagnosis can be made only by surgical exploration is paradoxical, as it eliminates the possibility of such diagnosis in the majority of cases, because patients will not usually submit to a laparotomy until they have definite or severe symptoms, and such symptoms do not generally occur until the process has passed beyond the incipient stage. The negative or positive diagnosis of gastric carcinoma may be made with as great a degree of accuracy by serial rontgenography as by explora¬ tory laparotomy, as a study of 616 cases has shown. Moreover, this examination may be made without risk to the patient. Therefore patients presenting very slight symptoms would welcome such an ex¬ amination, while absolutely refusing an exploratory operation. The more extensive growths may be detected readily by rontgenoscopy (fluoroscopy) or by two or three rontgenograms. But the negative or positive diagnosis of small, indurated ulcers or early carcinomas necessitates a careful study of several series of rontgenograms, made with the pa¬ tient in both the prone and erect postures, and at various intervals after the ingestion of barium and buttermilk. The author is not content with less than forty rontgenograms, and frequently makes fleeting of the A. M. A., Minneapolis, 1913. Copyright, 1914, by A. R. Elliott Publishing Company.