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May 1952

SMALL LESIONS OF COLONImportance of Cooperation Between Surgeon and Roentgenologist in Diagnosis and Treatment

Author Affiliations

From the Departments of Surgery, St. Luke's Hospital and University of Illinois College of Medicine, and the Department of Radiology, Northwestern University Medical School.

AMA Arch Surg. 1952;64(5):686-696. doi:10.1001/archsurg.1952.01260010704018

ESTIMATIONS made from vital statistics of the United States1 indicate that carcinoma of the large intestine accounted for approximately 33,000 deaths in 1948. Yet no other site of internal cancer is so amenable to modern treatment, with a low morbidity and a low mortality and an encouraging survival rate. This is especially true if the disease is recognized in the early phase. In spite of medical and lay cancer education, the average duration of symptoms is still over six months in all patients coming to surgery for carcinoma of the rectum and colon. Therefore, reiteration and discussion of features and recognized concepts which if utilized will lead to the early detection and treatment of malignant and premalignant lesions continue to be vital.

The intimate relationship of polypoid lesions to carcinoma is so well established that the early detection and removal or destruction of these neoplasms is mandatory in the

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