CHRONIC GASTRITIS SIMULATING GASTRIC CARCINOMA

Abstract

As a result of refinements in technic of roentgen examination of the stomach and the introduction of the flexible gastroscope, chronic gastritis has received renewed attention. Chronic gastritis is frequently a generalized involvement of the stomach, but often it can be of severe degree and localized in various parts of the stomach. While the roentgen appearance of generalized hypertrophic gastritis can often be recognized, the localized forms are frequently difficult to differentiate from carcinoma. Even gastroscopically the differentiation between a localized inflammatory infiltration and one which is neoplastic cannot always be made. Brunn and Pearl¹ first called attention to the fact that a malignant lesion can be simulated by chronic hypertrophic gastritis. Subsequently, Konjetzny² and Schindler³ reported similar instances. In the past three years we have encountered 5 cases in which the roentgen and gastroscopic appearance of localized chronic hypertrophic gastritis simulated carcinoma of the stomach. The