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  • Title: Ulcer simulating gastric carcinoma. I. Diagnostic considerations and treatment.
    Author: Hakkiluoto A, Lempinen M.
    Journal: Ann Chir Gynaecol Fenn; 1975; 64(1):5-9. PubMed ID: 1155904.
    Abstract:
    Small ulcer-simulating carcinomas accounted for 3.9% (48 cases) of the 1324 patients with carcinoma of the stomach treated at the Second Department of Surgery, University Centtive of a malignant ulcer in 52% of the cases whereas gastroscopy combined with exfoliative gastric cytology gave 73% correct results. In spite of preoperative suspicion of malignancy most patients were operated on as for a benign ulcer. Partial distal gastrectomy without splenectomy was performed in 93% of the patients. There was no hospital mortality. The 5-year survival rate by the actuarial method was 63%.
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