Diagnosis of early malignant lesions at the cardia of the stomach has long been considered difficult from both clinical and radiologic points of view. The cardia has been referred to as the silent region of the stomach because there are seldom any characteristic early symptoms of pathologic conditions of the cardia. During roentgenoscopic examination a lesion in this region can be overlooked unless the roentgenologist is thinking of it and proceeds with appropriate and thorough methods of search.
Until the recent years when improvements have been made in methods of anesthesia and particularly in the technical approach by transthoracic resection of the stomach, there has been little incentive for improvement of the means of diagnosis of carcinoma at the cardia because so little could be done therapeutically for patients with this disease.
Transthoracic resection of the stomach now has become a generally accepted surgical procedure, and a number of patients
KIRKLIN BR, GILBERTSON EL. ROENTGENOGRAMS OF THORAX THAT SUGGEST CARCINOMA OF STOMACH. JAMA. 1947;134(15):1228–1230. doi:10.1001/jama.1947.02880320018005
Customize your JAMA Network experience by selecting one or more topics from the list below.