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This monograph is a clinical study of 11,817 patients treated surgically in the Mayo Clinic for cancer of the stomach. It was possible to carry out a resection in 5,937 cases. Of the survivors of resection, 4,647 were traced; approximately 30% of this group lived five or more years after operation. This statement alone is enough to indicate the wide experience with this lesion that the three authors and 11 collaborators have had. They have compressed their knowledge into a brief, clear, and comprehensive volume.
Many controversial points are considered and the authors' positions supported by adequate data. For example, they place little emphasis on cytological diagnosis, advocating free use of gastrectomy for apparently benign ulcer as an important method of cancer control. They employ subtotal gastrectomy as the therapy of choice, reserving total or extended total gastrectomy for those lesions that cannot be treated in any other fashion. Although
Welch CE. Cancer of the Stomach. JAMA. 1964;189(2):169. doi:10.1001/jama.1964.03070020097044