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June 1965

Polypoid Lesions of the Gastrointestinal Tract.

Arch Intern Med. 1965;115(6):749. doi:10.1001/archinte.1960.03860180121030

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This small volume by a single author is based on an extensive personal experience, data from the Massachusetts General Hospital, and the literature. Approximately five-sixths is devoted to polyps of the colon and rectum and the remainder to those of the stomach and small intestine. The author points up the limits in radiological diagnosis and centers his discussion principally on polyps larger than one centimeter in diameter. His thesis (with which there is no argument) is that many malignant polypoid lesions are treated expectantly as though they are benign beyond the point at which a surgical cure for malignant disease can be effected. His text is richly embellished with illustrative cases, x-rays, microscopic sections, and gross photographs saving many hundreds of words of description.

Although the clinical material is excellent, the review of the available literature and discussion of the case for surgery is rather unexpected and disappointing to me

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