Recently studies of bone metastases in colorectal carcinoma by radionuclide scanning are reviewed. A frequency of 33--61% has been reported using the more recently available bone scanning tests. The commonly accepted frequency of bone metastases from colorectal carcinoma by x-ray or anatomic studies is 5%. This much higher frequency currently being reported must still be established by additional studies. However, if the much high frequency currently being reported is firm, they suggest a much greater importance of the Vertebral Venous Plexus in tumor spread than heretofore suspected for colorectal carcinoma.
Of 15 women with primary urethral carcinoma 2 had tumors confined to the urethra and were managed successfully by an operation. Of the 9 patients with tumor extending to the surrounding structures 6 (67 per cent) died of complications related to inadequate control of the primary tumor. The last 4 patients had stage D1 disease or greater at initial diagnosis and died of distant metastases. Our current approach for patients with locally advanced disease is combined brachytherapy and operation in an effort to eradicate the primary tumor, since morbidity and mortality result from failure to control the local tumor.
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