Carcinomas involving the cecum and right colon produce early subjective symptoms and if the physician is perceptive, objective findings can be discovered. In spite of the vast amount of publicity given to the early detection of cancer by the American Cancer Society and other groups in recent years, there has been no noticeable decrease in the interval between onset of symptoms and diagnosis of malignant lesions of the colon and rectum. In order to reduce significantly the five- and ten-year nonrecurrence rates, earlier diagnoses must be established. Prompt recognition of any malignant tumor by the patient or physician, followed by adequate treatment, gives the best chance of cure.
A study of malignant tumors of the colon and rectum reveals that the greater the interval of time between origin of the cancer and definitive surgical treatment, the greater is the opportunity for extension of the cancer and less is the opportunity
HENDRICK JW. Malignant Tumors Of Cecum and Right ColonDefinitive Diagnosis and Treatment. Arch Surg. 1964;88(6):954-965. doi:10.1001/archsurg.1964.01310240050011