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April 1958

Gastrointestinal Cancer: Definitive Diagnosis by Exfoliative Cytology

Author Affiliations


From the Department of Medicine, University of Chicago, The School of Medicine.

AMA Arch Intern Med. 1958;101(4):NP-740. doi:10.1001/archinte.1958.00260160054008

Esophageal Lavage.  —This manikin illustrates a No. 18 Levin tube situated just distal to an infiltrative squamous-cell carcinoma preparatory to irrigation.

Stomach Lavage.  —A No. 18 Levin tube in position near an ulcer of undetermined etiology of the lesser curvature of the stomach.

Duodenal Drainage.  —By means of a double-lumen Diamond tube exfoliated malignant cells may be recovered from carcinomas of the pancreas, common bile duct or gallbladder.

Colonic Irrigation.  —Malignant cells can be recovered from carcinomas of the cecum and splenic flexure by irrigation through a No. 12 Ewald tube inserted to the rectosigmoid.

Introduction  In recent years exfoliative cytology has become increasingly useful as a method of diagnosing cancer of the gastrointestinal tract. The cytologic procedures, as illustrated on the following pages, demonstrate the relative simplicity of the techniques. The methods of obtaining malignant cells from the esophagus, stomach, duodenum, and colon are satisfactorily performed by trained cytotechnicians.

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