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July 19, 1941


Author Affiliations

El Paso, Texas

JAMA. 1941;117(3):173-175. doi:10.1001/jama.1941.72820290001005

Sarcomas of the gastrointestinal tract were classified by Ewing1 as (1) spindle cell myosarcoma, (2) miscellaneous round cell or mixed cell alveolar sarcoma and (3) lymphosarcoma. Lymphosarcoma is the most important type in this classification and is the most frequently seen. The fact that sarcoma seldom involves the gastric mucosa early and therefore produces no characteristic deformity of the stomach on roentgen examination makes early diagnosis difficult. This is particularly unfortunate since the prognosis of gastric lymphosarcoma treated by adequate surgical intervention and follow-up roentgen therapy seems definitely more favorable than that of gastric carcinoma.2 For these reasons any procedure which may assist in the early diagnosis of this condition should be welcome.

The following case is of interest because the lesion was diagnosed correctly by gastroscopic examination one month after roentgen examination had failed to disclose the presence of any abnormality of the stomach.