Abstract
As pointed out by Castleman (1936), there was a time when it was widely believed that gastric carcinoma did not invade the duodenum. In most of the earlier textbooks of surgery and surgical pathology it was stated that, while carcinoma of the stomach spread extensively in many directions by means of lymphatic and haematogenous metastases and through direct extension, it stopped abruptly at the pyloric ring. However, on reviewing the literature, Castleman (1936) collected 38 case reports of gastric carcinoma in which duodenal spread of the tumour had occurred. In the majority the extent of duodenal invasion was not more than 1–2 cm, but in isolated cases it could be as much as 5 cm. In view of these findings it was necessary to remove most of the first part of the duodenum in resections for gastric carcinoma.
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© 1993 Springer-Verlag Berlin Heidelberg
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Keet, A.D. (1993). Pyloric Carcinoma. In: The Pyloric Sphincteric Cylinder in Health and Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77708-0_33
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DOI: https://doi.org/10.1007/978-3-642-77708-0_33
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