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November 1942


Arch Surg. 1942;45(5):702-726. doi:10.1001/archsurg.1942.01220050013002

Benign gastric tumors have received rather minor consideration in the literature compared to that accorded to ulcer and malignant lesions. Although sufficient reasons certainly justify this, several facts seem to warrant more than a mere academic acknowledgment of the benign tumors. These facts may be briefly enumerated: 1. The reported clinical rarity is certainly relative and due in part to lack of recognition. 2. Errors in diagnosis have too commonly led to ill timed and unnecessarily radical operations. 3. Critical illness frequently results from not unusual strangulation, pyloric obstruction or hemorrhage. 4. Malignant degeneration of certain types occurs rather often. Since these facts, variously emphasized by others, have been encountered in our own experience, it seems advisable to report this review of the situation at Bellevue Hospital, New York.

Various authors have differed widely in estimating the relative frequency of benign and malignant gastric neoplasms. The rather sharp contrast between

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