CARCINOMATOUS GASTRIC ULCER

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Abstract
It is apparent that the rank and file of the medical profession are becoming increasingly conscious of the fact that small, circumscribed, innocent looking ulcerous gastric lesions may actually be carcinomatous. Progress in our knowledge in this respect so far is due largely to disclosures by roentgenoscopy and the unexpected results of microscopic examination of presumably benign excised lesions or lesions in resected portions of the stomach. From time to time a patient who has what is proved eventually to be a malignant circumscribed gastric lesion undergoes treatment for the usual chronic benign ulcer. There are extenuating reasons for this, because an ulcerating form of carcinoma may be indistinguishable from a benign one on the basis of the usual criteria. Moreover, the patient may refuse immediate operation irrespective of the probable nature of the lesion. Finally, the risk of the operation under certain circumstances may be greater on first blush

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