Summary And Conclusion
1. In spite of repeated X-ray and gastroscopic examinations, as well as a diagnostic attitude of skepticism and caution, an erroneous diagnosis of carcinoma of the stomach led to needless gastric resection in 11 patients.
In 17 other patients an incorrect diagnosis of gastric cancer was made, but the error was detected and operation avoided by additional X-ray and gastroscopic studies.
2. Chromic antral gastritis was the disease most frequently mistaken for carcinoma.
3. Because in only one of the 28 misdiagnosed cases did the roentgenologist and gastroscopist agree on the diagnosis of cancer, the study emphasizes that an X-ray: gastroscopic discrepancy must engender serious doubt as to the presence of a malignant lesion.
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References
Moersch, H. J. and Weir, J. F.: Redundant gastric mucosa simulating carcinoma of the stomach. Am. Jour. Digest. Dis., 9:287–289, 1942.
Moersch, H. J.: The gastroscopic differentiation of gastritis from carcinoma of the stomach. Gastroenterology, 8:284–292, 1947.
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Medical Service, 98th General Hospital European Command, APO 407.
These medical officers at Walter Reed General Hospital played important parts in this study: Paul J. Maxwell. Howard F. Van Noate. William Robinson, Roland F. Bunch, Claude C, Blackwell, and Edward G. Sion.
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Palmer, E.D. A consideration of certain sources of error in the positive diagnosis of gastric carcinoma. A. J. D. D. 16, 260–262 (1949). https://doi.org/10.1007/BF03005942
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DOI: https://doi.org/10.1007/BF03005942