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June 1962

Linitis Plastica Carcinoma of the Colon: Report of a Case

Author Affiliations

From the Mallory Institute of Pathology, Boston City Hospital.; Junior Assistant Resident, Mallory Institute of Pathology, Boston City Hospital (Dr. d'Abadie), and Assistant in Pathology, Harvard Medical School; Senior Teaching Fellow in Pathology, Boston University School of Medicine, and Chief Resident, Mallory Institute of Pathology, Boston City Hospital (Dr. Goodman).

Arch Surg. 1962;84(6):686-691. doi:10.1001/archsurg.1962.01300240090015

The term linitis plastica is a descriptive one which applies to the radiological or gross anatomical appearance of a hollow viscus with a thickened, nonpliable, contracted wall. The term, which does not specify the etiology, was first used in 1865 by Brinton,1 who considered the lesion to be an advanced stage of gastritis, but did not exclude cancer. Howard,2 in reviewing the literature, found 42 different synonyms for the condition, and concluded that the majority of instances of linitis plastica of the stomach was due to sclerosing adenocarcinoma. Improved histological techniques have shown that linitis plastica may be caused by diffuse carcinoma or, rarely, by an inflammatory process. Although extensive reports are available on linitis plastica carcinoma of the stomach, only 57 cases of linitis plastica carcinoma of the colon could be found in the literature. Of this group, 6 were primary in, and restricted to, the colon,