THE EFFICACY OF MEDICAL CRITERIA IN DIFFERENTIATING BENIGN FROM MALIGNANT GASTRIC ULCERS
Authors: H J DWORKEN, H P ROTH, H C DUBER
Journal: Annals of Internal Medicine (1957)

Article1 October 1957THE EFFICACY OF MEDICAL CRITERIA IN DIFFERENTIATING BENIGN FROM MALIGNANT GASTRIC ULCERSHARVEY J. DWORKEN, M.D., HAROLD P. ROTH, M.D., F.A.C.P., HERBERT C. DUBER, M.D.HARVEY J. DWORKEN, M.D.Search for more papers by this author, HAROLD P. ROTH, M.D., F.A.C.P.Search for more papers by this author, HERBERT C. DUBER, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-47-4-711 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAny physician undertaking to treat gastric ulcer patients is faced with a dilemma when he refers to recent medical reports for guidance. Many authors1-10advise immediate surgery because of a considerable incidence of unsuspected carcinomas in benign-appearing ulcers. Others11-17advise against immediate surgery on the grounds that most gastric ulcers are benign, and complete symptomatic and radiologic response to medical therapy is likely to exclude a malignancy. In 1929 Jordan18described a series of medical criteria, involving a trial of therapy, to differentiate benign from malignant gastric ulcers. A similar method of therapeutic trial has been employed at the Veterans...Bibliography1. MarshallWelch SFML: Results of surgical treatment for gastric ulcer, J. A. M. A. 136: 748, 1948. CrossrefMedlineGoogle Scholar2. RavdinHorn ISRC: Gastric ulcer and gastric cancer, Ann. Surg. 137: 904, 1953. CrossrefMedlineGoogle Scholar3. LampertWaughDockerty EGJMMB: The incidence of malignancy in gastric ulcers believed preoperatively to be benign, Surg., Gynec. and Obst. 91: 673, 1950. MedlineGoogle Scholar4. Marshall SF: The relation of gastric ulcer to carcinoma of the stomach, Ann. Surg. 137: 891, 1953. CrossrefMedlineGoogle Scholar5. 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IvyGrossmanBachrach ACMIWH: Peptic ulcer, 1950, The Blakiston Company, Philadelphia. Google Scholar29. SmithJordan FHSM: Gastric ulcer: a study of 600 cases, Gastroenterology 11: 575, 1948. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Cleveland, Ohio*From the Symposium on Gastroduodenal Ulcer, presented at the Thirty-eighth Annual Session of The American College of Physicians, Boston, Massachusetts, April 11, 1957.From the Department of Medicine, School of Medicine, Western Reserve University, and the Veterans Administration Hospital, Cleveland, Ohio.Requests for reprints should be addressed to Harvey J. Dworken, M.D., 2460 Fairmount Boulevard, Cleveland 6, Ohio. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byImpact of endoscopy on mortality from occult cancer in radiographically benign gastric ulcersThe Healing Rate of Chronic Gastric Ulcer in Patients Admitted to HospitalGastric UlcerationsGastric Ulcer—Individualization in Diagnosis and TherapyThe Importance of the Brief Trial of Rigid Medical Management in the Diagnosis of Benign Versus Malignant Gastric Ulcer 1 October 1957Volume 47, Issue 4Page: 711-720KeywordsGastric ulcersHospital medicinePeptic ulcersSurgeryUlcers Issue Published: 1 October 1957 PDF downloadLoading ...