Giant benign gastric ulcers
Marshak, R.H.; Yarnis, H.; Friedman, A.I.
Gastroenterology 24(3): 339-356
1953
ISSN/ISBN: 0016-5085 PMID: 13060566 Document Number: 9043
1. A group of 7 cases of giant, benign, gastric ulcers measuring between 3.5 and 7 cm. are presented. 2. These ulcers penetrated into the pancreas, liver or mesentery, producing a hard, indurated mass that simulated carcinoma at operation. 3. Clinically, the most prominent symptom was intractable abdominal pain. 4. Gastric acidity was normal or elevated in each case. Melena was present in one, a guaiac positive stool in another, while the remainder were guaiac negative. 5. A gastroscopic diagnosis of a benign lesion was made in 2 out of 4 cases. Radiologically, a benign lesion was suggested in 4 cases, carcinoma in 1, and 2 were equivocal. Gastroscopy and roentgen examination may suggest the presence of a benign lesion, but carcinoma cannot be excluded. 6. It is doubtful whether these-giant, i.e., greater than 3.5 cm., benign, perforated, walled-off, gastric ulcers ever heal completely under medical therapy. The surgeon must be aware of this clinical entity, since gastric resection results in a cure.
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