Study on Diagnosis and Treatment of Nonepithelial Tumors of the Stomach (Report I):Symptoms of sarcoma of the stomach

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It is known that the incidence of primary sarcoma of the stomach is smaller than that of cancer of the stomach, however, the clinical findings remain unclear. In this study, 27 sarcomas of the stomach, consisting of 13 myogenic sarcomas and 14 lymphoreticulogenic sarcomas, were studied with special reference of their symptoms.The duration of symptoms averaged 6.6 months. Epigastric pain was the most frequent early symptom, and sensation of fullness was the second most frequent one. On admission, the patients with myogenic sarcoma (53%) had lost weight and the patients with lymphoreticulosarcoma (59%) had epigastric pain. Marked bleeding was seen in about one fourth of all patients, in whom melana was more frequent than hematemesis.Objective findings included fever (56%), palpation of masses (41%) and epigastric tenderness (22%) in all patients with sarcoma of the stomach.