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June 1969

Unusual Gastric Lesions: Clinical Features

Author Affiliations

Bethesda, Md
From the Naval Hospital, National Naval Medical Center, Bethesda, Md.

Arch Surg. 1969;98(6):781-785. doi:10.1001/archsurg.1969.01340120129024

In a series of gastric tumors in 60 military patients, carcinoma of the stomach occurred most frequently. A variety of benign tumors became evident.

Unusual clinical features and associated conditions in our group are described to acquaint the clinician with the early, or incipient, gastric neoplasm. Included are: (1) linitis plastica with situs inversus and Krukenberg's tumor, (2) gastric leiomyoma, (3) gastric carcinoma and gastric neurofibroma, (5) late development of gastric cancer post-gastrectomy for a duodenal ulcer, (6) aberrant pancreas of the stomach, and (7) trichobezoar. The triad of symptoms—dyspepsia, anorexia, and weight loss—were the most common chief complaints. Dysphagia and gastrointestinal hemorrhage also occurred. Occasionally a metastatic lesion was the first sign of a gastric malignancy.

Morphologic classification of the gastric tumor is illustrated from gastroscopy and barium roentgenograms to aid the clinician in estimating the clinical behavior of the lesion.

To further insure an earlier diagnosis of gastric