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Definitive Diagnosis by Exfoliative Cytology

HOWARD F. RASKIN, M.D.; JOSEPH B. KIRSNER, M.D.; WALTER L. PALMER, M.D.; SYLVIA PLETICKA, B.S.; WILLARD A. YAREMA, A.B.

AMA Arch Intern Med. 1958;101(4):[NP]-740.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Esophageal Lavage.

—This manikin illustrates a No. 18 Levin tube situated just distal to an infiltrative squamous-cell carcinoma preparatory to irrigation.

Stomach Lavage.

—A No. 18 Levin tube in position near an ulcer of undetermined etiology of the lesser curvature of the stomach.

Duodenal Drainage.

—By means of a double-lumen Diamond tube exfoliated malignant cells may be recovered from carcinomas of the pancreas, common bile duct or gallbladder.

Colonic Irrigation.

—Malignant cells can be recovered from carcinomas of the cecum and splenic flexure by irrigation through a No. 12 Ewald tube inserted to the rectosigmoid.

Introduction

In recent years exfoliative cytology has become increasingly useful as a method of diagnosing cancer of the gastrointestinal tract. The cytologic procedures, as illustrated on the following pages, demonstrate the relative simplicity of the techniques. The methods of obtaining malignant cells from the esophagus, stomach, duodenum, and colon are satisfactorily performed by trained cytotechnicians. . . . [Full Text PDF of this Article]

Author Affiliations
Chicago

From the Department of Medicine, University of Chicago, The School of Medicine.

Footnotes
Shown as a scientific exhibit of the Section on Gastroenterology and Proctology at the 106th Annual Meeting of the American Medical Association, New York, June 3-7, 1957.

This project was supported by a field investigation grant from the National Cancer Institute, National Institutes of Health, U. S. Public Service, and by the Stewart Fund to the University of Chicago.

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