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Total central lymphatic irradiation (2500-3000 rads in 3 to 6 weeks) including the entire abdomen, the supradiaphragmatic nodal areas, and Waldeyer's ring is being investigated as a potentially curative approach to patients with Stage III disease. Twenty-two patients have been treated (24-month minimum observation). All evidence of disease has disappeared in every patient. Three patients have developed local recurrence; 2 of them received 2000 rads or less. Three patients had marginal recurrences, and 5 developed generalized disease involving viscera. Fourteen patients (64%) are alive and free of any evidence of disease from 24-90 months (median, 54 months). Absolute survival is 82% (18/22).

SARCOMA of the stomach is seldom encountered, if one may judge by the reports in the literature. Approximately 200 cases have been reported and they seem to be of more frequent occurrence than individual experience would lead one to infer. In the Berlin Pathological Institute, for instance, there is but one example of sarcoma of the stomach in the 840 specimens. In this discussion I have excluded lymphosarcoma, which is a fairly frequent finding. Frazier, in 1914, quotes Bruch as being the first to record a case of sarcoma of the stomach, in 1847. Virchow, in 1864, referred to three cases. Baldy, in 1893, reported the case of a patient who came to him complaining of a mass in the abdomen, which was accompanied by progressive weakness and loss of weight. Physical examination disclosed a large irregular mass filling the entire abdomen from the symphysis to the ensiform cartilage. A small hard mass, the size of a walnut, was found in the umbilicus. There had been no gastro-intestinal symptoms. Operation disc...