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December 1954

BOECK'S SARCOID OF THE STOMACH SIMULATING LINITUS PLASTICAReport of a Case and Comparison with Twelve Recorded Cases

Author Affiliations

From the Department of Surgery, the Ohio State University College of Medicine and Medical Center.

AMA Arch Surg. 1954;69(6):769-776. doi:10.1001/archsurg.1954.01270060011003

BOECK'S sarcoid frequently involves the lymph nodes and the lungs, but involvement of the stomach is rare. The case to be presented and the 12 others culled from the literature (Table) are of interest because in each instance symptomatology and barium studies mimicked gastric ulcer or carcinoma.

Jessing,1 in 1943, described the case of a 61-year-old white woman who suffered from epigastric pain, belching, and vomiting of three weeks' duration. An ulcer was seen on the lesser curvature in the barium study. This lesion persisted, and because a malignant tumor was feared, laparotomy with subtotal gastric resection was undertaken. An ulcer 2 cm. in diameter with an infiltrating rim was found. The gastric wall was greatly thickened, and the mucosa had a velvety appearance.

In 1944, Gore and McCarthy2 published their study of a 26-year-old man who complained of burning epigastric pain and eructation after meals. A cone-shaped

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