• Anaylsis of the histories of 106 patients with carcinoma of the stomach showed that the early symptoms (especially flatulence and anorexia) often preceded the epigastric pain that brought the patient to the physician. The disease progresses so fast that the emphasis in the future will have to be on the vague early symptoms. A patient over 40 in whom anorexia, gas, fulness, and indigestion have persisted longer than a week requires thorough examination. If an inconclusive filling defect is found in the first series of roentgenograms, he should not be allowed to wait longer than five days before he is reexamined. In the cases here studied the average time from the development of symptoms until inoperability was proved was 6.6 months.
Myers HC. EARLY DIAGNOSIS OF CARCINOMA OF THE STOMACH. JAMA. 1957;163(3):159–161. doi:10.1001/jama.1957.02970380001001
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