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July 1960

Recurrence in Abdominal Incision of Adenocarcinoma from Rectum: Case Report with 17-Year Latent Period

Author Affiliations

Spokane, Wash.

Arch Surg. 1960;81(1):112-117. doi:10.1001/archsurg.1960.01300010114021

Accidental seeding of cancer cells during surgery is increasingly recognized in the literature as a cause of recurrence. Most recent reports concern themselves with recurrence of the gastrointestinal carcinoma at the site of anastomosis. However, recurrence of such carcinoma also takes place with some frequency in the abdominal incision, and an excellent collective review of such recurrences has been written by Meadows.1 In 1907 Ryall2 wrote: "Cancer cells may escape during operation as the result of incising or lacerating the primary growth... and such cells getting into the wound are quite capable of causing, and do frequently cause cancer recurrence." In his article Ryall presented 25 case histories from personal experience of wound recurrence, 6 of the cases representing carcinoma of the colon or rectum. In subsequent years W. J. Mayo,3 Brandes et al.,4 Ackerman and Wheat,5 and many others have cited numerous instances in