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February 1988

Anorectal, Presacral, and Sacral Tumors: Anatomy, Physiology, Pathogenesis and Management

Arch Surg. 1988;123(2):265-266. doi:10.1001/archsurg.1988.01400260153031

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Even busy general surgeons have a limited experience in treating the rare tumors listed in the title of this monograph. When they encounter such lesions, it is wise to consult those who are familiar with their operative management. The New York University surgical team, with Arthur Localio as captain, have made tumors in this area a major professional focus for many years, so when they speak, it is wise to listen.

After an introductory, well-illustrated section on the history of the management of such tumors comes a lucid, carefully written, 25-page section summarizing the anatomy and physiology of the anorectum.

Next come 120 pages presenting characteristics of various tumors that occur in this area, including a 24-page section on low-lying adenocarcinomas. It is here that most clinicians will feel they are on familiar ground for the first and only time.

Perhaps the most valuable section of the book for clinical

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