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Abstract
Internists and surgeons disagree on whether or not differential diagnosis of benign and malignant ulcers can be made with sufficient accuracy to justify medical treatment. Careful utilization of diagnostic criteria, including exfoliative cytology, and careful observation of the patient during initial weeks of therapy should reduce the margin of error.
Resection is the only treatment of value for neoplastic gastric ulcer. In determining treatment of benign gastric ulcer, the high rate of recurrence after medical management must be balanced against the risks of operation and a postresection syndrome following operation.