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May 1952

CARCINOMA OF THE COLONA Study of End-Results of Surgical Treatment

Author Affiliations

From the Department of Surgery, University of Michigan.

AMA Arch Surg. 1952;64(5):707-725. doi:10.1001/archsurg.1952.01260010725020

COLLER and Vaughan,1 in 1945, discussed certain aspects of the treatment of carcinoma of the colon observed in this clinic during the preceding five-year period. They considered in detail a series of 173 consecutive cases of colonic carcinoma, exclusive of lesions of the rectum, treated by all forms of surgical procedure other than abdominoperineal resection. The following conclusions were drawn: 1. At the time of operation 16.2% of the patients presented lesions too far advanced for any type of resection, and for these patients only palliative decompression or short circuiting procedures could be carried out. 2. Resection was feasible in 83.8% of the cases; of the patients for whom resection was performed 19% had gross metastases in the liver or peritoneum, and hence these resection operations were palliative in nature. 3. In 112 cases, or 64.7%, there was no gross evidence of carcinomatous spread beyond the regional lymph nodes;

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