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November 1962

Carcinoma of the StomachMorphological Characteristics Affecting Survival

Author Affiliations

From the Department of Surgery and Surgical Pathology, Washington University School of Medicine, St. Louis.

Arch Surg. 1962;85(5):754-763. doi:10.1001/archsurg.1962.01310050056010

The biological behaviors of gastric carcinomas are somewhat related to certain morphological characteristics of the primary tumors.1,2 This study attempts to correlate survival from gastric cancer after gastrectomy with the cellular growth patterns of the primary tumors and the degree of the inflammatory response about them.

Materials and Methods  The records and tissue sections * of 222 gastric resections for carcinoma of the stomach in the Barnes Hospital from Jan. 1, 1948 to Dec. 31, 1958 were reexamined without knowledge of follow-up. Of the tumors, 180 were removed more than 5 years ago. Three patients were lost to follow-up. The others were followed until they died or had been observed for at least 5 years postoperatively.Basic preoperative data are shown in Tables 1 and 2. Eighty-one patients had abdominal tumors palpable. Two had pernicious anemia. The errors in roentgenological diagnosis were approximately 10% (Table 3). The operability rate during

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