Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

RETROGRADE SPREAD OF CARCINOMA IN THE RECTUM AND RECTOSIGMOID

RETROGRADE SPREAD OF CARCINOMA IN THE RECTUM AND RECTOSIGMOID Abstract SINCE knowledge concerning the frequency, extent and nature of retrograde spread1 of carcinoma in the rectosigmoid and rectum is still incomplete, many surgeons are uncertain of the surgical procedures offering the most promise to the patient. However, those surgeons who are most radical in their practice point to a lesser number of recurrences in patients so treated when compared to those who have been less radically treated. The question therefore arises of whether increased incidence of recurrence in the less radically treated patients may not be due to preoperative retrograde spread from the portion of the bowel removed to the portion left behind. Attempts to answer this question appeared in the literature of 1913 and 1914.2 It was shown that in approximately 20 specimens retrograde spread occurred from 1 to 2 cm. below the lesion. However, the method of study was inadequate since examination was limited to a References 1. We are using the term "retrograde spread" in the sense of the tumor spreading from the primary lesion down in the direction of the anal canal within the wall of the bowel or into immediately adjacent lymph nodes. 2. Cole, P. P.: Brit. M. J. 1:431-433, 1913.Crossref 3. Monsarrat, K. W., and Williams, I. J.: Brit. J. Surg. 1:173-182, 1913.Crossref 4. Cheatle, G. L.: Brit. M. J. 1:303, 1914.Crossref 5. Coller, F. A.; Kay, E. B., and MacIntyre, R. S.: Surgery 8:294-311, 1940. 6. Dixon, C. F.: Am. J. Surg. 46:12-17, 1945.Crossref 7. Gilchrist, R. K., and David, V. C.: Ann. Surg. 108:621-642, 1938.Crossref 8. Glover, R. P., and Waugh, J. M.: Surg., Gynec. & Obst. 82:434-448, 1946. 9. Waugh Surg., Gynec. & Obst. 82:438, 1946. 10. Grinnell, R. S.: Ann. Surg. 116: 200-216, 1942. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

RETROGRADE SPREAD OF CARCINOMA IN THE RECTUM AND RECTOSIGMOID

Archives of Surgery , Volume 59 (4) – Oct 1, 1949

Loading next page...
 
/lp/american-medical-association/retrograde-spread-of-carcinoma-in-the-rectum-and-rectosigmoid-8L00lmFpix
Publisher
American Medical Association
Copyright
Copyright © 1949 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1949.01240040816001
Publisher site
See Article on Publisher Site

Abstract

Abstract SINCE knowledge concerning the frequency, extent and nature of retrograde spread1 of carcinoma in the rectosigmoid and rectum is still incomplete, many surgeons are uncertain of the surgical procedures offering the most promise to the patient. However, those surgeons who are most radical in their practice point to a lesser number of recurrences in patients so treated when compared to those who have been less radically treated. The question therefore arises of whether increased incidence of recurrence in the less radically treated patients may not be due to preoperative retrograde spread from the portion of the bowel removed to the portion left behind. Attempts to answer this question appeared in the literature of 1913 and 1914.2 It was shown that in approximately 20 specimens retrograde spread occurred from 1 to 2 cm. below the lesion. However, the method of study was inadequate since examination was limited to a References 1. We are using the term "retrograde spread" in the sense of the tumor spreading from the primary lesion down in the direction of the anal canal within the wall of the bowel or into immediately adjacent lymph nodes. 2. Cole, P. P.: Brit. M. J. 1:431-433, 1913.Crossref 3. Monsarrat, K. W., and Williams, I. J.: Brit. J. Surg. 1:173-182, 1913.Crossref 4. Cheatle, G. L.: Brit. M. J. 1:303, 1914.Crossref 5. Coller, F. A.; Kay, E. B., and MacIntyre, R. S.: Surgery 8:294-311, 1940. 6. Dixon, C. F.: Am. J. Surg. 46:12-17, 1945.Crossref 7. Gilchrist, R. K., and David, V. C.: Ann. Surg. 108:621-642, 1938.Crossref 8. Glover, R. P., and Waugh, J. M.: Surg., Gynec. & Obst. 82:434-448, 1946. 9. Waugh Surg., Gynec. & Obst. 82:438, 1946. 10. Grinnell, R. S.: Ann. Surg. 116: 200-216, 1942.

Journal

Archives of SurgeryAmerican Medical Association

Published: Oct 1, 1949

References