Despite the enormous effort that has been expended on the surgical approach to carcinoma of the stomach and on better methods of diagnosis the results in this disease are still exceedingly poor. Of all the tumors, cancer of the stomach continues to produce by far the largest number of deaths. The vast majority of persons coming to surgical treatment, even at the present time, are in an advanced stage of the disease, so much so that surgical treatment is impossible in a high percentage of the cases. In order that there be any opportunity for a surgical cure in carcinoma of the stomach the diagnosis must be made at a sufficiently early stage so that extirpation is feasible and metastasis to lymph nodes is not yet present. Some means must be devised to discover carcinoma of the stomach when the lesion is small and in an early stage of development.
RIGLER LG. ROENTGEN EXAMINATION OF THE STOMACH IN SYMPTOMLESS PERSONS. JAMA. 1948;137(17):1501–1507. doi:10.1001/jama.1948.02890510001001
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