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September 1959

Malignant Neoplasms of the Colon and Rectum in Young Persons

Author Affiliations

Rochester, Minn.
Fellow in Surgery, Mayo Foundation (Dr. Johnson); Section of Surgery (Dr. Judd) and Section of Surgical Pathology (Dr. Dahlin), Mayo Clinic and Mayo Foundation. The Mayo Foundation, Rochester, Minn., is a part of the Graduate School of the University of Minnesota.

AMA Arch Surg. 1959;79(3):365-372. doi:10.1001/archsurg.1959.04320090013003

Malignant disease of the colon and rectum in young patients is rare; hence most of the literature on this subject consists of reports of single cases and collective reviews. The literature gives the impression that malignant lesions in this location in young patients are extremely active and that the prognosis is relatively hopeless. Recent studies of malignant tumors of the stomach in young patients reported from several sources indicate a better prognosis than was suggested earlier in such cases. A revision in our thinking concerning malignant neoplasms in the colon and rectum of young patients, therefore, may well be indicated. We undertook the present study with the hope that we could evaluate the dictum, "Cancer is a much more malignant process in a youthful patient" and establish the relative incidence of various types of malignant disease that occur in the colon and rectum of the youthful patient. A large series

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