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Article
February 1943

OPERATIVE TREATMENT OF CANCER OF THE LARGE BOWEL WITHOUT COLOSTOMY

Author Affiliations

PHILADELPHIA
From the Surgical Department of Temple University.

Arch Surg. 1943;46(2):253-264. doi:10.1001/archsurg.1943.01220080089008
Abstract

Carcinoma of the large bowel is the second most common and the most curable of all internal cancers. Although it is usually easier to diagnose than other internal cancers, delay in recognition and radical treatment makes it responsible for about one fourth of all deaths from malignant disease. Over 60 per cent of cancers of the large bowel may be accurately and instantly diagnosed by palpation with the finger or by inspection through a proctoscope, yet a large percentage of patients are treated for other conditions because these simple examinations are not made. Commonly a roentgen examination is ordered, which usually fails to delineate a cancer of the pelvic colon. On the basis of this negative evidence, the patient then may be treated for hemorrhoids, anal fissure, colitis, prostatitis, spastic colon or other conditions until he falls into the hands of some one who is perhaps less scientific but who

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