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July 8, 1916

Cancer of the Stomach. A Clinical Study of 921 Operatively and Pathologically Demonstrated Cases.

JAMA. 1916;LXVII(2):145. doi:10.1001/jama.1916.02590020061029

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This monograph is composed of twelve chapters, eleven of which, covering the general features of the subject, including the nonsurgical treatment, are by Smithies, and one chapter on the surgical treatment is by Ochsner. The opening chapter, on general distribution and etiology, contains many interesting facts regarding the distribution, but nothing that can be said really to touch the etiology. It is to be expected that a disease as prevalent as cancer, which occurs, as a rule, after the individual has lived more than half of his expectancy, would be accompanied by many conditions such as healed tuberculosis, gallstones, syphilis, chronic infections, etc., without there being any causal relation between them; hence there is no sound reason for concluding that any of these incidental conditions bear any causal relation to cancer of the stomach.

The chapter on morbid anatomy is well illustrated, most of the gross specimens being from the

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