Download Radiologic Diagnosis of Gastric Cancer: A new Outlook by L.M. Portnoy PDF
By L.M. Portnoy
L.M. Portnoy is considered one of Russia's best radiologists. This booklet is the results of his greater than 30 years' event within the box of melanoma analysis. the writer reports for us the potentials – presently enormously underestimated – of radiological exam and the normal X-ray for the prognosis of gastric cancer.
This finished evaluation of methodological ways to the X-ray exam of the tummy and corrected tumor semiotics may help training physicians and citizens to diagnose even the main minuscule tumors. Portnoy covers all diagnostic equipment on the topic of stomach melanoma, with thorough causes of the methodological, semiotic, and organizational aspects.
This paintings through one of many best-known Russian experts in X-ray analysis should be of curiosity not just for all those that need to know extra concerning the historical past of radiology as a occupation, but in addition for college students, who can learn the guidelines and tips of a master.
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Example text
But early in the past century, authors indicated only the tendency of infiltrative cancer to ulceration, which emphasized the importance of its endophytic growth. Data on the so-called cycles of malignant ulcer »healing« (when the ulcer epithelializes and then appears again) can be used only as confirmation of the classical works. The following question is justified in such a situation: If a malignant tumor »heals«, does it mean that the disease is cured? Nothing of the kind. Therefore, those authors who define an exophytic tumor resting on a large base with ulceration as the infiltrative form of gastric cancer are more correct than modern authors who define such new growth as the ulcerous form with submucous spread.
Hiccup is the most common clinical symptom of cancer in the zone of the fundus and the supracardiac part; it is due to involvement of the diaphragm. Among other symptoms may be pain irradiating by the diaphragmatic nerve; diaphragmatic pleurisy is not infrequent either. Left-sided pleurisy occurs in tumors not only of the stomach fundus but of its body as well, which spread onto the cardiac part. This is sometimes the first sign of the disease. When located on the greater curvature, a tumor more often grows into the splenic portal.
C Target stomach roentgenogram (double contrast, horizontal position, anterior projection): more distinctly visualized are thick walls of the antral part of the stomach and the notch with the infiltrated folds converging toward the lesser curvature (arrow). Conclusion: Infiltrative cancer of the lesser curvature and the angular notch. 50 Chapter 4 · Radiological Diagnosis of Gastric Cancer d Endophotograph: very thick folds of the gastric mucosa. The mucosa is pale pink and glassy. Deep biopsy.