Multiple Primary Malignant Neoplasms: Their Incidence and by Charles G. Moertel

By Charles G. Moertel

87 three. All polyps can be swiftly handled via resection or fulguration once attainable after their discovery. four. The general practitioner needs to imagine the accountability for impressing the sufferer with the need for common and normal follow-up examinations. those examinations needs to be performed at now not than 1-year durations for no less than five years after remedy of the preliminary lesion and ideally at each year durations thereafter. five. A minimum follow-up exam needs to contain a proctoscopic exam in addition to a cautious roentgenologic exam of the colon. precis The literature bearing on a number of colonic carcinomas has been reviewed. facts were awarded on 261 instances during which a number of carcinomas of the colon have been noticeable on the Mayo sanatorium from January 1, 1944, via December 31, 1953. zero This represents a identified fee of prevalence of 4.3 /0. A marked tendency to multiplicity has been saw in carcinoma of the colon linked to a number of polyposis or with continual ulcerative colitis. a few proof has been bought of hereditary components in predisposition to malignant illness of the colon. while the prognosis of a malignant lesion of the colon or rectum has been made, the total huge bowel needs to be thought of a possible resource of malignant ailment. an essential component of the administration of carcinoma of the massive bowel has to be consistent vigilance to make sure early prognosis and enough remedy of either simul­ taneous and period lesions. References ALBRECHT, P.: Ober die Multiplizitat primarer maligner Geschwiilste. Oncologia (Basel) five, 12 (1952).

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