Identifier: americanjournroen08ameruoft (find matches)
Title: The American journal of roentgenology, radium therapy and nuclear medicine
Year: 1906 (1900s)
Authors: American Radium Society American Roentgen Ray Society
Subjects: Radiotherapy X-rays
Publisher: Springfield, Ill. C.C. Thomas
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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he microscopic examinationshowed the presence of carcinoma of the peri- from vomiting and pain in the abdomen. Ad-mitted to St. Lukes Hospital, July 12, 1919,under the service of Dr. Nathan Green. Roentgen examination revealed a remark-ably small stomach, measuring about 12 by4 cm. in diameter. (Fig. 10.) The pyloruswas gaping so that the duodenum and upperjejunum were filled within a few minutes.There was secondary dilatation of theesophagus. The findings were typical ofleather-bottle stomach and closely resembledcases of syphilitic infiltration of the stomachwall. Wassermann was negative. Exploratory laporotomy was performed Leather-Bottle Stomacli 171 July 22, 1919, by Dr. Green. The abdomen the carcinoma. Both the stomach and the was markedly clistended. There was free transverse colon were infiltrated with the fluid in the peritoneal cavity. The intestines new growth. The liver was hard and nodular were matted together owing to numerous and studded with metastatic nodules. A sec-
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FiG. 10. Case IV. Leathfj^-Bottle Stomach Due Probably to Carcinoma.Fifty minutes after meal. Xote small size of stomach with compensatorydilatation of esophagus. Pathologic examination: metastatic carcinomafrom abdomen; origin of growth not evident. adhesions and covered by minute carcino-matous growths. The stomach and transversecolon were matted together so that it wasimpossible to determine the primar)- seat of tion was removed for microscopic examina-tion from the infiltrated omentum. Microscopical examination reported byDr. L. C. Knox. Section consisted of fatty 172 Leather-Bottle Stomach tissue with extensive prockictive inflamma-tion and large collections of lymphocytes,and throughout this a few infiltrating car-cinomata cells. The cells were rather smalland were found in small groups onlv, butthe nuclei were large, hyperchromatic. andshowed numerous mitoses. There was notendency to form glands and no evidence as aged sixty-three. The patient had sufferedfrom vomiting for seve

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