Carcinoma of the Colon

Cole, Warren H.; Graham, Anna

doi:10.1001/archsurg.1965.01320160001001

Cited by 13 publications

(2 citation statements)

References 16 publications

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“…Despite the inconvenience, pain, and expense to the patient, recommendation for polypertomy 5eern3 war1 anted, if the patient is otherwise well To aid in earlier diagnosis of cancer of the colon leading to removal when the lesion is locabed and curable, routine proctoscopy has been advocated. 6 In the experience of the Ma) o Clinic, the incidence of significant findings on routine proctoscopy has been low.28 Of 1,000 proctoscopic esaminations in completely asymptomatic patients, only 7.5% revealed polypoitl lesions that could be fulgur'ited, only l showed a cancer in situ in a polyp, and none showed definite cancer. I n other series involving 150,000 examinations,15.2*.3" cancer was found in 1% of the patients.…”

Section: Precanceroiis Lesionsmentioning

confidence: 99%

Factors in prognosis of colon and rectal cancer

Beahrs¹,

Sanfelippo²

1971

Cancer

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Early diagnosis is most important in the prognosis in colorectal cancer because the cause of cancer is unknown and an effective and practical large‐scale screening test, easily and cheaply carried out, is unavailable. If the diagnosis is made early, when the patient is asymptomatic, and prior to development of complications or when the lesion is precancerous, the disease almost always is localized and adequate treatment gives excellent results. However, if symptoms have been present for months or complications have developed prior to establishing the diagnosis (because of patient neglect in seeking advice or physician lack of tenacity in evaluating the patient's condition), or if surgical treatment has been inadequate, the prognosis is poor. Education of physicians and the public remains most important in improving results further. New knowledge or new modalities of treatment should result in improved prognosis not only in colorectal cancer but also in cancer of other anatomic sites.

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Section: Precanceroiis Lesionsmentioning

confidence: 99%

Factors in prognosis of colon and rectal cancer

Beahrs¹,

Sanfelippo²

1971

Cancer

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“…7) as described in detail elsewhere. 6 With this approach, all of the lymph and blood vessels are severed early, thus allowing manipulation and mobilization of the tumor bearing bowel with a minimal possibility of dissemination of cancer cells.…”

Section: Figmentioning

confidence: 99%

Modern concepts in cancer of the colon and rectum

Cole

Strehl

1966

Cancer

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Measures to control both local recurrence and distant vascular spread have been analyzed in depth under 8 major categories. The control of vascular spread is advocated by early distant ligation of the vascular trunks and in right hemicolectomy by starting the dissection in the gastro‐colic area rather than to the right of the ascending colon; the latter should minimize the possibility of dissemination of cancer cells into the systemic circulation. Local spread can be minimized by isolating the tumor segment from the wound and abdomen. Essentials of this technique, which should be a standard part of colon surgery include isolation of the malignant tumor segment, wide excision of the mesentery, irrigation of each lumen of the bowel with distilled water or half strength Dakin's solution, and excision of each end of the bowel crushed by the crushing clamps before beginning the anastomosis. Current concepts of the role of cancer detection, polypoid lesions and other factors influencing prognosis also have been reviewed.

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New Method of Abdominal Retraction

Weinstein¹

1969

Arch Surg

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Carcinoma of the Colon

Cited by 13 publications

References 16 publications

Factors in prognosis of colon and rectal cancer

Factors in prognosis of colon and rectal cancer

Modern concepts in cancer of the colon and rectum

New Method of Abdominal Retraction

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