Abstract
Routine pre-scalene lymph node biopsies were done on 127 patients with gastric carcinoma. No lymphatic tissue was present in 27 of the specimens. Metastatic carcinoma was found in 12 out of the 100 biopsies where lymph nodes were present. Of these 12,4 were obtained from patients with other signs of metastatic disease.Eighty-three of the 88 patients with negative nodes were subjected to laparotomy. Forty-three of these cases had an operable gastric carcinoma.In one patient with metastasis a gastroenterostomy was performed as a palliative procedure.Routine scalene node biopsy therefore saved 8 patients from an unnecessary laparotomy. A negative node biopsy was of no value in determining operability.
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