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A Pathologic Study of the Criteria Differentiating Chronic Gastric Ulcer, Cancer-on-Ulcer and Ulcerating Carcinoma of the Stomach.

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By BUEERMANN W. H.. , (Northwest Medicine. , 1932; , xxxi:, 49.-54.)

Ann Intern Med. 1932;5(10):1326. doi:10.7326/0003-4819-5-10-1326
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From various sources the criteria to be applied in recognizing the development of gastric carcinoma upon gastric ulcer are assembled. In this manner the history of the evolution of this clinico-pathological conception is traced. The author finds that, at the present time, there is fairly general agreement that carcinoma does develop secondarily in a small percentage of chronic gastric ulcers. Definite pathologic criteria must be laid down and strictly adhered to in differentiating cancer-on-ulcer from ulcerating carcinoma. Clinically, the danger lies not so much in the possibility that cancer will develop upon a given gastric ulcer, as that an early


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