CARCINOMA AND TUBERCULOSIS OF STOMACH.

The simultaneous development of carcinoma and tuberculosis is very rare in any locality. There are only three or four examples of this combination of morbid processes recorded as occurring in the stomach. Claude¹ found at the post-mortem of a patient with tuberculosis of the lungs and intestines an irregular, soft tumor projecting from the posterior walls of the stomach near the pylorus. Surrounding its base ran a narrow ulcer, and the free surface of the mass showed that the mucous membrane had been destroyed; in the vicinity of the large tumor were three smaller polypoid outgrowths, but otherwise the remainder of the stomach seemed normal. Histologic examination of the smaller nodules showed a typic adenomatous structure and submucous tubercles with giant cells and tubercle bacilli. The large tumor was an adenocarcinoma; between the muscular coat and the overlying tumor were numerous caseous tuberculous foci extending into the carcinomatous tissue.