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Carcinoma of the Colon

Carcinoma of the Colon Abstract CANCER OF the colon is one of the most common tumors we have. Combined with cancer of the rectum, it is the most common except for cancer of the skin, although the 1965 estimated death rate of 42,900 from these cancers is slightly lower than the death rate of 47,000 for cancer of the lung estimated for 1965 by the American Cancer Society.1 Actually the incidence of cancer of the colon and rectum is higher than that for cancer of the lung due to the fact that the five-year survival rate is greater. Unfortunately, a large percentage of patients with carcinoma of the colon coming to operation are incurable, even though some colons may be resectable with the designation of palliative resection. The resectability of carcinoma of the colon varies greatly in reports encountered in the literature. Unfortunately, in some reports it is not clear whether the figures given References 1. 1965 Facts and Figures, American Cancer Society. 2. Mayo, C.W., and Lovelace, W.R.: Malignant Lesions of the Cecum and Ascending Colon , Surg Gynec Obstet 72:689, 1941. 3. Stone, H.B., and McLanahan, S.: Resection and Immediate Aseptic Anastomosis for Carcinoma of the Colon , JAMA 120:1362, 1942.Crossref 4. Coller, F.A., and Regan, W.J.: Cancer of the Colon and Rectum , American Cancer Society 1963. 5. McSwain, B.; Sidler, R.N.; and Main, F.B.: Carcinoma of the Colon, Rectum, and Anus , Ann Surg 155:782, 1962.Crossref 6. Griffin, G.D.; Judd, E.S.; and Gage, R.P.: Carcinoma of the Right Side of the Colon: Operability, Resectability and Survival Rates , Ann Surg 143:330, 1956.Crossref 7. Swinton, N.W.: Recent Trends in Treatment of Cancer of the Colon and Rectum , Amer J Surg 92:727, 1956.Crossref 8. Cole, W.H.: The Role of the Doctor and Patient in Early Cancer Detection , Illinois Med J 118:1, 1960. 9. Day, E., and Venet, L.: " Periodic Cancer Detection Examinations as a Cancer Control Measure ," in Proceedings of Fourth National Cancer Conference , Philadelphia: J. P. Lippincott Co., 1960, p 905. 10. James, A.G.: Cancer Prognosis Manual , American Cancer Society, 1960. 11. Dukes, C.: Surgical Pathology of Rectal Cancer , Proc Roy Soc Med 37:131, 1944. 12. Dukes, C.E., and Bussey, H.J.R.: Venous Spread in Rectal Cancer , Proc Roy Soc Med 34:571, 1941. 13. Brown, C.E., and Warren, S.: Visceral Metastases From Rectal Carcinoma , Surg Gynec Obstet 66:611, 1938. 14. Grinnell, R.S.: Results in the Treatment of Carcinoma of the Colon and Rectum: An Analysis of 2,341 Cases Over a 35 Year Period With Five Year Survival Results in 1,667 Patients , Surg Gynec Obstet 96:31, 1953. 15. Grinnell, R.S.: Spread of Carcinoma of the Colon and Rectum , Cancer 3:651, 1950.Crossref 16. Cole, W.H.; Packard, D.; and Southwick, H.W.: Carcinoma of the Colon With Special Reference to Prevention of Recurrence , JAMA 155:1549, 1954.Crossref 17. Willis, R.A.: Pathology of Tumors, London: Butterworths, p 427. 18. Morgan, C.N., and Lloyd-Davies, O.V.: Discussion on Conservative Resection in Carcinoma of the Rectum , Proc Roy Soc Med 43:701, 1950. 19. Goligher, J.C.; Dukes, CE.; and Bussey, H.J.R.: Local Recurrence After Sphincter-Saving Excisions for Carcinoma of the Rectum and Rectosigmoid , Brit J Surg 39:199, 1951.Crossref 20. Keynes, W.M.: Implantation From the Bowel Lumen in Cancer of the Large Intestine , Ann Surg 153:347, 1961.Crossref 21. Southwick, H.W.; Harridge, W.H.; and Cole, W.H.: Recurrence at the Suture Line Following Resection for Carcinoma of the Colon , Amer J Surg 103:86, 1962.Crossref 22. Wheelock, F.C.; Toll, G.; and McKittrick, L.S.: An Evaluation of the Anterior Resection of the Rectum and Low Sigmoid , New Eng J Med 260:526, 1959.Crossref 23. Beal, J.M., and Cornell, G.N.: A Study of the Problem of Recurrence of Carcinoma at the Anastomosis Site Following Resection of the Colon for Carcinoma , Ann Surg 143:1, 1956.Crossref 24. Cullen, P.H., Jr., and Mayo, C.W.: Further Evaluation of One Stage Low-Anterior Resection , Dis Colon Rectum 6:415, 1963.Crossref 25. Beahrs, O.H.; Phillips, J.W.; and Dockerty, M.B.: Implantation of Tumor Cells as a Factor in Recurrence of Carcinoma of the Rectosigmoid , Cancer 8:831, 1955.Crossref 26. Black, B.M., and Kelly, A.H.: Recurrent Carcinoma of the Rectum and Rectosigmoid , Arch Surg 71:538, 1955.Crossref 27. Lofgren, E.P.; Waugh, J.M.; and Dockerty, M.B.: Local Recurrence of Carcinoma After Anterior Resection of the Rectum and Sigmoid , Arch Surg 74:825, 1957.Crossref 28. Barnes, J.P.: Physiologic Resection of the Right Colon , Surg Gynec Obstet 94:723, 1952. 29. Sonneland, J.: Accidental Seeding of Cancer in the Operative Area , Northwest Med 58:1687, 1959. 30. Meyer, H.W.: Technic of Radical Mastectomy With Reference to Extension of Dissection to Mediastinal and Cervical Nodes , New York J Med 53:2977, 1953. 31. Poth, E.V.; Jacobsen, L.W.; and Dunlop, W.: Control of Tumor Transplantation After Primary Anastomosis of the Colon , Surgery 49:723, 1961. 32. Nickell, D.F., and Dockerty, M.B.: Five Year Survival Rate in Cases of Completely Obstructing Annular Carcinoma of Descending Colon and Sigmoid: Pathologic Study , Surg Gynec Obstet 87:519, 1948. 33. Wilder, T.C.; Dockerty, M.B.; and Waugh, J.M.: Clinicopathologic Study of Obstructing Carcinoma of Right Portion of Colon , Surg Gynec Obstet 113:353, 1961. 34. Chang, W.Y., and Burnett, W.E.: Complete Colonic Obstruction Due to Adenocarcinoma , Surg Gynec Obstet 114:353, 1962. 35. Minster, J.J.: Comparison of Obstructing and Non-obstructing Carcinoma of the Colon , Cancer 17:242, 1963.Crossref 36. Lahey, F.H., and Sanderson, E.: Lesions of the Right Colon Involving Right Colectomy , JAMA 120:1356, 1942.Crossref 37. Welch, CE., and Burke, J.F.: Carcinoma of the Colon and Rectum , New Eng J Med 266:211, 1962.Crossref 38. Moss, N.H.: End Results in the Treatment of Cancer of Colon and Rectum, presented at the 5th National Cancer Conference, Philadelphia, Sept 17, 1964. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1965.01320160001001
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Abstract

Abstract CANCER OF the colon is one of the most common tumors we have. Combined with cancer of the rectum, it is the most common except for cancer of the skin, although the 1965 estimated death rate of 42,900 from these cancers is slightly lower than the death rate of 47,000 for cancer of the lung estimated for 1965 by the American Cancer Society.1 Actually the incidence of cancer of the colon and rectum is higher than that for cancer of the lung due to the fact that the five-year survival rate is greater. Unfortunately, a large percentage of patients with carcinoma of the colon coming to operation are incurable, even though some colons may be resectable with the designation of palliative resection. The resectability of carcinoma of the colon varies greatly in reports encountered in the literature. Unfortunately, in some reports it is not clear whether the figures given References 1. 1965 Facts and Figures, American Cancer Society. 2. Mayo, C.W., and Lovelace, W.R.: Malignant Lesions of the Cecum and Ascending Colon , Surg Gynec Obstet 72:689, 1941. 3. Stone, H.B., and McLanahan, S.: Resection and Immediate Aseptic Anastomosis for Carcinoma of the Colon , JAMA 120:1362, 1942.Crossref 4. Coller, F.A., and Regan, W.J.: Cancer of the Colon and Rectum , American Cancer Society 1963. 5. McSwain, B.; Sidler, R.N.; and Main, F.B.: Carcinoma of the Colon, Rectum, and Anus , Ann Surg 155:782, 1962.Crossref 6. Griffin, G.D.; Judd, E.S.; and Gage, R.P.: Carcinoma of the Right Side of the Colon: Operability, Resectability and Survival Rates , Ann Surg 143:330, 1956.Crossref 7. Swinton, N.W.: Recent Trends in Treatment of Cancer of the Colon and Rectum , Amer J Surg 92:727, 1956.Crossref 8. Cole, W.H.: The Role of the Doctor and Patient in Early Cancer Detection , Illinois Med J 118:1, 1960. 9. Day, E., and Venet, L.: " Periodic Cancer Detection Examinations as a Cancer Control Measure ," in Proceedings of Fourth National Cancer Conference , Philadelphia: J. P. Lippincott Co., 1960, p 905. 10. James, A.G.: Cancer Prognosis Manual , American Cancer Society, 1960. 11. Dukes, C.: Surgical Pathology of Rectal Cancer , Proc Roy Soc Med 37:131, 1944. 12. Dukes, C.E., and Bussey, H.J.R.: Venous Spread in Rectal Cancer , Proc Roy Soc Med 34:571, 1941. 13. Brown, C.E., and Warren, S.: Visceral Metastases From Rectal Carcinoma , Surg Gynec Obstet 66:611, 1938. 14. Grinnell, R.S.: Results in the Treatment of Carcinoma of the Colon and Rectum: An Analysis of 2,341 Cases Over a 35 Year Period With Five Year Survival Results in 1,667 Patients , Surg Gynec Obstet 96:31, 1953. 15. Grinnell, R.S.: Spread of Carcinoma of the Colon and Rectum , Cancer 3:651, 1950.Crossref 16. Cole, W.H.; Packard, D.; and Southwick, H.W.: Carcinoma of the Colon With Special Reference to Prevention of Recurrence , JAMA 155:1549, 1954.Crossref 17. Willis, R.A.: Pathology of Tumors, London: Butterworths, p 427. 18. Morgan, C.N., and Lloyd-Davies, O.V.: Discussion on Conservative Resection in Carcinoma of the Rectum , Proc Roy Soc Med 43:701, 1950. 19. Goligher, J.C.; Dukes, CE.; and Bussey, H.J.R.: Local Recurrence After Sphincter-Saving Excisions for Carcinoma of the Rectum and Rectosigmoid , Brit J Surg 39:199, 1951.Crossref 20. Keynes, W.M.: Implantation From the Bowel Lumen in Cancer of the Large Intestine , Ann Surg 153:347, 1961.Crossref 21. Southwick, H.W.; Harridge, W.H.; and Cole, W.H.: Recurrence at the Suture Line Following Resection for Carcinoma of the Colon , Amer J Surg 103:86, 1962.Crossref 22. Wheelock, F.C.; Toll, G.; and McKittrick, L.S.: An Evaluation of the Anterior Resection of the Rectum and Low Sigmoid , New Eng J Med 260:526, 1959.Crossref 23. Beal, J.M., and Cornell, G.N.: A Study of the Problem of Recurrence of Carcinoma at the Anastomosis Site Following Resection of the Colon for Carcinoma , Ann Surg 143:1, 1956.Crossref 24. Cullen, P.H., Jr., and Mayo, C.W.: Further Evaluation of One Stage Low-Anterior Resection , Dis Colon Rectum 6:415, 1963.Crossref 25. Beahrs, O.H.; Phillips, J.W.; and Dockerty, M.B.: Implantation of Tumor Cells as a Factor in Recurrence of Carcinoma of the Rectosigmoid , Cancer 8:831, 1955.Crossref 26. Black, B.M., and Kelly, A.H.: Recurrent Carcinoma of the Rectum and Rectosigmoid , Arch Surg 71:538, 1955.Crossref 27. Lofgren, E.P.; Waugh, J.M.; and Dockerty, M.B.: Local Recurrence of Carcinoma After Anterior Resection of the Rectum and Sigmoid , Arch Surg 74:825, 1957.Crossref 28. Barnes, J.P.: Physiologic Resection of the Right Colon , Surg Gynec Obstet 94:723, 1952. 29. Sonneland, J.: Accidental Seeding of Cancer in the Operative Area , Northwest Med 58:1687, 1959. 30. Meyer, H.W.: Technic of Radical Mastectomy With Reference to Extension of Dissection to Mediastinal and Cervical Nodes , New York J Med 53:2977, 1953. 31. Poth, E.V.; Jacobsen, L.W.; and Dunlop, W.: Control of Tumor Transplantation After Primary Anastomosis of the Colon , Surgery 49:723, 1961. 32. Nickell, D.F., and Dockerty, M.B.: Five Year Survival Rate in Cases of Completely Obstructing Annular Carcinoma of Descending Colon and Sigmoid: Pathologic Study , Surg Gynec Obstet 87:519, 1948. 33. Wilder, T.C.; Dockerty, M.B.; and Waugh, J.M.: Clinicopathologic Study of Obstructing Carcinoma of Right Portion of Colon , Surg Gynec Obstet 113:353, 1961. 34. Chang, W.Y., and Burnett, W.E.: Complete Colonic Obstruction Due to Adenocarcinoma , Surg Gynec Obstet 114:353, 1962. 35. Minster, J.J.: Comparison of Obstructing and Non-obstructing Carcinoma of the Colon , Cancer 17:242, 1963.Crossref 36. Lahey, F.H., and Sanderson, E.: Lesions of the Right Colon Involving Right Colectomy , JAMA 120:1356, 1942.Crossref 37. Welch, CE., and Burke, J.F.: Carcinoma of the Colon and Rectum , New Eng J Med 266:211, 1962.Crossref 38. Moss, N.H.: End Results in the Treatment of Cancer of Colon and Rectum, presented at the 5th National Cancer Conference, Philadelphia, Sept 17, 1964.

Journal

Archives of SurgeryAmerican Medical Association

Published: Oct 1, 1965

References