ISSN:0012-3706    

出版商:OVID    

年代:1968

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1968

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1968

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1968

数据来源: OVID

摘要:

Summary and ConclusionsA comparison of the records of patients with cancer of the rectum who underwent surgical resections for cure during the period January 1, 1957, through December 31, 1962, with a similar series treated during the years 1939 to 1951, indicates an improved overall survival rate. The improved survival rate occurred in the group of patients who had metastasis to lymph nodes, proved by examination of the resected specimen. Refinements of surgical technic may have accounted for this improvement.Preoperative irradiation as an adjunct to surgical resection could not be shown to affect survival rate.Additional experience with preoperative x‐ray therapy has been gained from a randomized study begun in 1960 and continued through December 31, 1967. Results of this experience will be reported when a five‐year follow up is possible.

ISSN:0012-3706    

出版商:OVID    

年代:1968

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1968

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1968

数据来源: OVID

摘要:

Summary and ConclusionsThree cases of villous adenomas of the rectum are presented. All patients had severe fluid and electrolyte imbalance secondary to the loss of mucus. Two patients died because fluid replacement was impaired by severe congestive heart failure that made surgical therapy impossible.A vigorous approach to correction of fluid and electrolyte imbalance is imperative, and surgical removal of the mucussecreting tumor should be performed as soon as the imbalance is corrected.Sodium loss raises the question of its effect on aldosterone secretion. The loss of mucoitin sulfuric acid also suggests the possibility of sulfur loss.

ISSN:0012-3706    

出版商:OVID    

年代:1968

数据来源: OVID

摘要:

SummaryA case of diverticulum of the anal canal is described and the literature is reviewed. The patient presented with rectal bleeding. The lesion felt like an epithelioma on palpation, due to a hard fecolith in the diverticulum. Although one cannot exclude the possibility of an acquired diverticulum, its congenital origin appears to be the most logical explanation. Complete excision is an easy procedure which results in cure.

ISSN:0012-3706    

出版商:OVID    

年代:1968

数据来源: OVID

摘要:

ConclusionThis case illustrates several points frequently emphasized in medical literature: 1) A person who has malignant disease must be watched carefully for subsequent development of metastasis and other primary lesions. 2) Multiple polyposis must be treated aggressively and as soon as possible. 3) Prognosis, even in an apparently hopeless situation, should be guarded. 4) A patient with known biologic resistance to malignancy should be given the benefit of standard surgical procedures in the management of new neoplasms that arise subsequent to the appearance of the initial carcinoma.We have presented a report on a male patient having congenital multiple familial polyposis with associated multiple primary malignancy of the colon, periampullary carcinoma of the ampulla of Vater, and a third primary lesion — a transitional‐cell carcinoma—of the urinary bladder. His over‐all survival time, from the appearance of the initial carcinoma of the rectum to the present, is 13 years. During this time there was spontaneous regression of pulmonary metastases during an interval period of six years.

ISSN:0012-3706    

出版商:OVID    

年代:1968

数据来源: OVID