| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
|
Gastric
ulcers virtually never "cancerate," but cancers of the stomach often ulcerate.
-
Malignant transformation is
unknown in duodenal ulcers.
-
Malignant transformation is
vanishingly rare in gastric ulcers.
-
In those case of supposed malignant
transformation, most are doubtless occult carcinomas that ulcerated.
The underlying
tendency toward dysplasia and malignancy relates to the association with
chronic gastritis, rather than ulcer formation itself.
-
H.
pylori may well play an important role in the development of gastric
carcinoma, but this tendency stems from the chronic gastritis.
Treatment |
|