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RECURRENCE IN CARCINOMA OF THE COLON AND PROXIMAL RECTUM FOLLOWING RESECTION FOR CARCINOMA

RECURRENCE IN CARCINOMA OF THE COLON AND PROXIMAL RECTUM FOLLOWING RESECTION FOR CARCINOMA Abstract ALL SURGEONS are aware of the relatively high incidence of local recurrence L at the suture line in primary resection and end-to-end anastomosis for carcinoma of the colon and proximal rectum. I am of the opinion that at least half of the recurrences at the suture line are local implants and I have previously called attention to this possibility.1 It is obvious that there is enough manipulation of the tumor during the resection to result in desquamation of numerous cancer cells from the primary lesion. Moreover, we now know with the aid of the Papanicolaou stain that cancer cells desquamate profusely from ulcerating tumors. Although it is unlikely that these desquamated cells would become implanted on normal mucosa, it may be assumed that they might become implanted on open wounds or ulcerated areas and grow. There is ample evidence that cancer cells can be implanted in breast wounds during References 1. Cole, W. H.: Measures to Combat the Menace of Cancer , Am. Surgeon 17:660 ( (July) ) 1951. 2. Goligher, J. C.; Dukes, C. E., and Bussey, H. J. R.: Local Recurrences after Sphincter-Saving Excision for Carcinoma of the Rectum and Rectosigmoid , Brit. J. Surg. 39:199 ( (Nov.) ) 1951.Crossref 3. Gilchrist, R. K., and David, V. C.: A Consideration of Pathological Factors Influencing Five Year Survival in Radical Resection of the Large Bowel and Rectum for Carcinoma , Ann. Surg. 126:421 ( (Oct.) ) 1947.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

RECURRENCE IN CARCINOMA OF THE COLON AND PROXIMAL RECTUM FOLLOWING RESECTION FOR CARCINOMA

A.M.A. Archives Surgery , Volume 65 (2) – Aug 1, 1952

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Publisher
American Medical Association
Copyright
Copyright © 1952 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1952.01260020277008
Publisher site
See Article on Publisher Site

Abstract

Abstract ALL SURGEONS are aware of the relatively high incidence of local recurrence L at the suture line in primary resection and end-to-end anastomosis for carcinoma of the colon and proximal rectum. I am of the opinion that at least half of the recurrences at the suture line are local implants and I have previously called attention to this possibility.1 It is obvious that there is enough manipulation of the tumor during the resection to result in desquamation of numerous cancer cells from the primary lesion. Moreover, we now know with the aid of the Papanicolaou stain that cancer cells desquamate profusely from ulcerating tumors. Although it is unlikely that these desquamated cells would become implanted on normal mucosa, it may be assumed that they might become implanted on open wounds or ulcerated areas and grow. There is ample evidence that cancer cells can be implanted in breast wounds during References 1. Cole, W. H.: Measures to Combat the Menace of Cancer , Am. Surgeon 17:660 ( (July) ) 1951. 2. Goligher, J. C.; Dukes, C. E., and Bussey, H. J. R.: Local Recurrences after Sphincter-Saving Excision for Carcinoma of the Rectum and Rectosigmoid , Brit. J. Surg. 39:199 ( (Nov.) ) 1951.Crossref 3. Gilchrist, R. K., and David, V. C.: A Consideration of Pathological Factors Influencing Five Year Survival in Radical Resection of the Large Bowel and Rectum for Carcinoma , Ann. Surg. 126:421 ( (Oct.) ) 1947.Crossref

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Aug 1, 1952

References

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