WILLARD H. WILLIS, M.D.
Isolated instances of thrombopenia and purpura associated with carcinoma of the stomach have previously been reported. These cases are of diagnostic interest because the clinical picture is frequently confusing. The initial complaint may be referable to the purpura, and the gastrointestinal symptoms, if present, may be ignored by the patient and the physician. The primary lesion may be small and difficult to diagnose by roentgen-ray as well as at the autopsy table. Even if carcinoma is suspected the characteristically extensive metastatic invasion of the bone marrow and lungs may not be discernible in roentgenograms.
In 1936 Jarcho11 called attention to
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WILLIS WH. THROMBOCYTOPENIC PURPURA AND CARCINOMA OF STOMACH; REPORT OF A CASE WITH PURPURA APPEARING AFTER SUBTOTAL GASTRECTOMY(THROMBOCYTOPENIC PURPURA AND CARCINOMA OF STOMACH; REPORT OF A CASE WITH PURPURA APPEARING AFTER SUBTOTAL GASTRECTOMY*). Ann Intern Med. 1942;16:782–787. doi: 10.7326/0003-4819-16-4-782
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Published: Ann Intern Med. 1942;16(4):782-787.
Coagulopathies, Gastroenterology/Hepatology, Hematology/Oncology, Platelet Disorders.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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