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December 1960

The Surgical Management of Smooth-Muscle Tumors of the Gastrointestinal Tract

Author Affiliations

From the Department of Surgery, Western Reserve University School of Medicine, and University Hospitals of Cleveland.

Arch Surg. 1960;81(6):971-982. doi:10.1001/archsurg.1960.01300060117024

Smooth-muscle tumors of the gastrointestinal tract are being reported in the current journals with ever-increasing frequency. A review of the world's literature in 1941 contained 972 cases, benign and malignant,7 and many additional reports have been added since. With improvement in diagnostic techniques, it seems reasonable to assume that this rise will continue, and, concomitantly, there will be a larger number of patients with the lesion requiring surgical management. It is becoming necessary, therefore, that surgeons be familiar not only with the pathology and diagnosis of smoothmuscle tumors, but also with proper operative therapy.

In all respects, the management of this lesion is a difficult one. It is unusual for the diagnosis to be made preoperatively, especially with gastric lesions, for there is no characteristic x-ray appearance,4 and the clinical impression is usually that of carcinoma. In the present series of 18 cases, the correct preoperative diagnosis was

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