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dc.contributor.authorMackie, David Tayloren
dc.date.accessioned2019-02-15T14:34:24Z
dc.date.available2019-02-15T14:34:24Z
dc.date.issued1931en
dc.identifier.urihttp://hdl.handle.net/1842/35065
dc.description.abstracten
dc.description.abstract(1) Cancer of the stomach is at once the commonest and causes the highest mortality of all forms of carcinoma. (2) Failure to make an early diagnosis is the factor chiefly responsible for the continued high mortality. Improvement does not lie in more extensive operations. (3) This failure is due to:- (a) Time lost by the patient, i.e., delay between the onset of vague symptoms and the consulting of a doctor. (b) Time lost by the doctor in the treatment of symptoma without investigating their cause. (4) Patients must therefore be educated against the danger of treating themselves for indigestion or for vague ill-health. This can be done by the family doctor. (5) The doctor must investigate first and treat last. This implies that in every case of dyspepsia or of vague ill -health the possibility of cancer of the stomach must be thought of and steps taken at once to exclude it by the use of clinical methods. (6) Early diagnosis can be made by the joint use of clinical, radiological and if necessary surgical means. (7) The greatest of these are the clinical, because they are the earliest. It follows, therefore, that in the fight against cancer the general practitioner must play a leading part. (8) Investigation by means of gastric analysis is an invaluable aid to the diagnostician and is within the scope of every general practitioner. (9) The routine investigation of all suspicious cases by this method would at least lead to a correct diagnosis being made, or a strong probability being aroused, within two weeks of the patient consulting. (10) Cases would, as a result, be sent oftener and earlier for X -ray investigation, which, in the hands of the expert, is capable of making a correct diagnosis in 96 per cent of cases. (11) Modern surgery has proved that it can cure; the above routine of investigation would afford it the opportunity. Mortality would be reduced and life prolonged.en
dc.publisherThe University of Edinburghen
dc.relation.ispartofAnnexe Thesis Digitisation Project 2019 Block 22en
dc.relation.isreferencedbyen
dc.titleCancer of the stomach with special reference to early diagnosis in general practiceen
dc.typeThesis or Dissertationen
dc.type.qualificationlevelDoctoralen
dc.type.qualificationnameMD Doctor of Medicineen


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