How can the outlook in alimentary tract cancer be improved?
Identifieur interne : 001C87 ( Istex/Corpus ); précédent : 001C86; suivant : 001C88How can the outlook in alimentary tract cancer be improved?
Auteurs : Owen H. Wangensteen ; Henry SosinSource :
- The American Journal of Surgery [ 0002-9610 ] ; 1967.
Abstract
Consistent early recognition of cancer of the large bowel is the only manner in which the present accomplishment can be achieved and improved. In patients who are good operative risks, near total or total colectomy should find wider acceptance among surgeons. In such patients, the operation can be performed with risks not out of line with the mortality of segmental resection for colon cancer (approximately 5 per cent).The disparity in accomplishment in Dukes' class A and C lesions is striking. Our experience indicates that second look procedures can salvage a number of patients in the class C (17 per cent).Our experience suggests the need for annual re-examination of all patients having undergone prior excision of cancer of the colon. A new cancerous lesion of the colon was observed in three patients thirteen to eighteen years after the initial operation. Clinicians need to regard the remaining colonic mucosa of patients with cancer of the colon as potential bearers of new cancer. Some prophylaxis is provided against recurrent colonic cancer in patients undergoing primary near total colectomy for the initial cancerous lesion.The experience of our Cancer Detection Center suggests definitely that when annual proctoscopic examination in all patients of forty-five years or more finds wide acceptance, the mortality from rectal cancer may begin to exhibit features of the decline in mortality attending wide application of the Papanicolaou test for cervical cancer.Although convincing histologic evidence is wanting of transformation of benign adenomatous polyps into invasive cancer, surgical elimination of such benign lesions in patients observed in our Cancer Detection Center was followed by a striking reduction in the anticipated occurrence of rectal cancer (72 per cent), followed in turn by a lesser need for radical operative procedures.Consistent early recognition of cancer of the colon awaits development, refinement, and wider application of more precise roentgeno-graphic technics.
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DOI: 10.1016/0002-9610(68)90125-6
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In patients who are good operative risks, near total or total colectomy should find wider acceptance among surgeons. In such patients, the operation can be performed with risks not out of line with the mortality of segmental resection for colon cancer (approximately 5 per cent).The disparity in accomplishment in Dukes' class A and C lesions is striking. Our experience indicates that second look procedures can salvage a number of patients in the class C (17 per cent).Our experience suggests the need for annual re-examination of all patients having undergone prior excision of cancer of the colon. A new cancerous lesion of the colon was observed in three patients thirteen to eighteen years after the initial operation. Clinicians need to regard the remaining colonic mucosa of patients with cancer of the colon as potential bearers of new cancer. Some prophylaxis is provided against recurrent colonic cancer in patients undergoing primary near total colectomy for the initial cancerous lesion.The experience of our Cancer Detection Center suggests definitely that when annual proctoscopic examination in all patients of forty-five years or more finds wide acceptance, the mortality from rectal cancer may begin to exhibit features of the decline in mortality attending wide application of the Papanicolaou test for cervical cancer.Although convincing histologic evidence is wanting of transformation of benign adenomatous polyps into invasive cancer, surgical elimination of such benign lesions in patients observed in our Cancer Detection Center was followed by a striking reduction in the anticipated occurrence of rectal cancer (72 per cent), followed in turn by a lesser need for radical operative procedures.Consistent early recognition of cancer of the colon awaits development, refinement, and wider application of more precise roentgeno-graphic technics.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>Owen H. Wangensteen M.D.</name><affiliations><json:string>Minneapolis, Minnesota, USA</json:string></affiliations></json:item><json:item><name>Henry Sosin M.D.</name><affiliations><json:string>Minneapolis, Minnesota, USA</json:string></affiliations></json:item></author><articleId><json:string>68901256</json:string></articleId><language><json:string>eng</json:string></language><abstract>Consistent early recognition of cancer of the large bowel is the only manner in which the present accomplishment can be achieved and improved. In patients who are good operative risks, near total or total colectomy should find wider acceptance among surgeons. In such patients, the operation can be performed with risks not out of line with the mortality of segmental resection for colon cancer (approximately 5 per cent).The disparity in accomplishment in Dukes' class A and C lesions is striking. Our experience indicates that second look procedures can salvage a number of patients in the class C (17 per cent).Our experience suggests the need for annual re-examination of all patients having undergone prior excision of cancer of the colon. A new cancerous lesion of the colon was observed in three patients thirteen to eighteen years after the initial operation. Clinicians need to regard the remaining colonic mucosa of patients with cancer of the colon as potential bearers of new cancer. Some prophylaxis is provided against recurrent colonic cancer in patients undergoing primary near total colectomy for the initial cancerous lesion.The experience of our Cancer Detection Center suggests definitely that when annual proctoscopic examination in all patients of forty-five years or more finds wide acceptance, the mortality from rectal cancer may begin to exhibit features of the decline in mortality attending wide application of the Papanicolaou test for cervical cancer.Although convincing histologic evidence is wanting of transformation of benign adenomatous polyps into invasive cancer, surgical elimination of such benign lesions in patients observed in our Cancer Detection Center was followed by a striking reduction in the anticipated occurrence of rectal cancer (72 per cent), followed in turn by a lesser need for radical operative procedures.Consistent early recognition of cancer of the colon awaits development, refinement, and wider application of more precise roentgeno-graphic technics.</abstract><qualityIndicators><score>8.072</score><pdfVersion>1.4</pdfVersion><pdfPageSize>540 x 756 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>0</keywordCount><abstractCharCount>2012</abstractCharCount><pdfWordCount>4572</pdfWordCount><pdfCharCount>30944</pdfCharCount><pdfPageCount>10</pdfPageCount><abstractWordCount>302</abstractWordCount></qualityIndicators><title>How can the outlook in alimentary tract cancer be improved?</title><pii><json:string>0002-9610(68)90125-6</json:string></pii><genre><json:string>research-article</json:string></genre><serie><volume>601</volume><pages><first>93</first></pages><genre></genre><language><json:string>unknown</json:string></language><title>Proc. 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Cowling, and the Damon Runyon Cancer Research Funds.</note><note>Presented at the Eighth Annual Meeting of the Society for Surgery of the Alimentary Tract, Atlantic City, New Jersey, June 17 and 18, 1967.</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">How can the outlook in alimentary tract cancer be improved?</title><author><persName><forename type="first">Owen H.</forename><surname>Wangensteen</surname></persName><roleName type="degree">M.D.</roleName><note type="biography">From the Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota 55455.</note><affiliation>From the Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota 55455.</affiliation><affiliation>Minneapolis, Minnesota, USA</affiliation></author><author><persName><forename type="first">Henry</forename><surname>Sosin</surname></persName><roleName type="degree">M.D.</roleName><note type="biography">From the Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota 55455.</note><affiliation>From the Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota 55455.</affiliation><affiliation>Minneapolis, Minnesota, USA</affiliation></author></analytic><monogr><title level="j">The American Journal of Surgery</title><title level="j" type="abbrev">AJS</title><idno type="pISSN">0002-9610</idno><idno type="PII">S0002-9610(00)X0113-4</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1967"></date><biblScope unit="volume">115</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="7">7</biblScope><biblScope unit="page" to="16">16</biblScope></imprint></monogr><idno type="istex">A64BA30F41704FDBB9D3A9A3E5383D474270E720</idno><idno type="DOI">10.1016/0002-9610(68)90125-6</idno><idno type="PII">0002-9610(68)90125-6</idno><idno type="ArticleID">68901256</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1967</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Consistent early recognition of cancer of the large bowel is the only manner in which the present accomplishment can be achieved and improved. In patients who are good operative risks, near total or total colectomy should find wider acceptance among surgeons. In such patients, the operation can be performed with risks not out of line with the mortality of segmental resection for colon cancer (approximately 5 per cent).The disparity in accomplishment in Dukes' class A and C lesions is striking. Our experience indicates that second look procedures can salvage a number of patients in the class C (17 per cent).Our experience suggests the need for annual re-examination of all patients having undergone prior excision of cancer of the colon. A new cancerous lesion of the colon was observed in three patients thirteen to eighteen years after the initial operation. Clinicians need to regard the remaining colonic mucosa of patients with cancer of the colon as potential bearers of new cancer. Some prophylaxis is provided against recurrent colonic cancer in patients undergoing primary near total colectomy for the initial cancerous lesion.The experience of our Cancer Detection Center suggests definitely that when annual proctoscopic examination in all patients of forty-five years or more finds wide acceptance, the mortality from rectal cancer may begin to exhibit features of the decline in mortality attending wide application of the Papanicolaou test for cervical cancer.Although convincing histologic evidence is wanting of transformation of benign adenomatous polyps into invasive cancer, surgical elimination of such benign lesions in patients observed in our Cancer Detection Center was followed by a striking reduction in the anticipated occurrence of rectal cancer (72 per cent), followed in turn by a lesser need for radical operative procedures.Consistent early recognition of cancer of the colon awaits development, refinement, and wider application of more precise roentgeno-graphic technics.</p></abstract></profileDesc><revisionDesc><change when="1967">Published</change></revisionDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier, elements deleted: tail"><istex:xmlDeclaration>version="1.0" encoding="UTF-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="fla" xml:lang="en"><item-info><jid>AJS</jid><aid>68901256</aid><ce:pii>0002-9610(68)90125-6</ce:pii><ce:doi>10.1016/0002-9610(68)90125-6</ce:doi><ce:copyright type="unknown" year="1967"></ce:copyright></item-info><head><ce:article-footnote><ce:label>☆</ce:label><ce:note-para>These studies were sponsored by the Malignant Disease Research, the Donald J. Cowling, and the Damon Runyon Cancer Research Funds.</ce:note-para></ce:article-footnote><ce:article-footnote><ce:label>☆☆</ce:label><ce:note-para>Presented at the Eighth Annual Meeting of the Society for Surgery of the Alimentary Tract, Atlantic City, New Jersey, June 17 and 18, 1967.</ce:note-para></ce:article-footnote><ce:title>How can the outlook in alimentary tract cancer be improved?</ce:title><ce:author-group><ce:author><ce:given-name>Owen H.</ce:given-name><ce:surname>Wangensteen</ce:surname><ce:degrees>M.D.</ce:degrees><ce:cross-ref refid="FN1"><ce:sup loc="post">1</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Henry</ce:given-name><ce:surname>Sosin</ce:surname><ce:degrees>M.D.</ce:degrees><ce:cross-ref refid="FN1"><ce:sup loc="post">1</ce:sup></ce:cross-ref></ce:author><ce:affiliation><ce:textfn>Minneapolis, Minnesota, USA</ce:textfn></ce:affiliation><ce:footnote id="FN1"><ce:label>1</ce:label><ce:note-para>From the Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota 55455.</ce:note-para></ce:footnote></ce:author-group><ce:abstract class="author"><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para view="all" id="simple-para.0010">Consistent early recognition of cancer of the large bowel is the only manner in which the present accomplishment can be achieved and improved. In patients who are good operative risks, near total or total colectomy should find wider acceptance among surgeons. In such patients, the operation can be performed with risks not out of line with the mortality of segmental resection for colon cancer (approximately 5 per cent).</ce:simple-para><ce:simple-para view="all" id="simple-para.0015">The disparity in accomplishment in Dukes' class A and C lesions is striking. Our experience indicates that second look procedures can salvage a number of patients in the class C (17 per cent).</ce:simple-para><ce:simple-para view="all" id="simple-para.0020">Our experience suggests the need for annual re-examination of all patients having undergone prior excision of cancer of the colon. A new cancerous lesion of the colon was observed in three patients thirteen to eighteen years after the initial operation. Clinicians need to regard the remaining colonic mucosa of patients with cancer of the colon as potential bearers of new cancer. Some prophylaxis is provided against recurrent colonic cancer in patients undergoing primary near total colectomy for the initial cancerous lesion.</ce:simple-para><ce:simple-para view="all" id="simple-para.0025">The experience of our Cancer Detection Center suggests definitely that when annual proctoscopic examination in all patients of forty-five years or more finds wide acceptance, the mortality from rectal cancer may begin to exhibit features of the decline in mortality attending wide application of the Papanicolaou test for cervical cancer.</ce:simple-para><ce:simple-para view="all" id="simple-para.0030">Although convincing histologic evidence is wanting of transformation of benign adenomatous polyps into invasive cancer, surgical elimination of such benign lesions in patients observed in our Cancer Detection Center was followed by a striking reduction in the anticipated occurrence of rectal cancer (72 per cent), followed in turn by a lesser need for radical operative procedures.</ce:simple-para><ce:simple-para view="all" id="simple-para.0035">Consistent early recognition of cancer of the colon awaits development, refinement, and wider application of more precise roentgeno-graphic technics.</ce:simple-para></ce:abstract-sec></ce:abstract></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>How can the outlook in alimentary tract cancer be improved?</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>How can the outlook in alimentary tract cancer be improved?</title></titleInfo><name type="personal"><namePart type="given">Owen H.</namePart><namePart type="family">Wangensteen</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Minneapolis, Minnesota, USA</affiliation><description>From the Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota 55455.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Henry</namePart><namePart type="family">Sosin</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Minneapolis, Minnesota, USA</affiliation><description>From the Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota 55455.</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article"></genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1967</dateIssued><copyrightDate encoding="w3cdtf">1967</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">Consistent early recognition of cancer of the large bowel is the only manner in which the present accomplishment can be achieved and improved. In patients who are good operative risks, near total or total colectomy should find wider acceptance among surgeons. In such patients, the operation can be performed with risks not out of line with the mortality of segmental resection for colon cancer (approximately 5 per cent).The disparity in accomplishment in Dukes' class A and C lesions is striking. Our experience indicates that second look procedures can salvage a number of patients in the class C (17 per cent).Our experience suggests the need for annual re-examination of all patients having undergone prior excision of cancer of the colon. A new cancerous lesion of the colon was observed in three patients thirteen to eighteen years after the initial operation. Clinicians need to regard the remaining colonic mucosa of patients with cancer of the colon as potential bearers of new cancer. Some prophylaxis is provided against recurrent colonic cancer in patients undergoing primary near total colectomy for the initial cancerous lesion.The experience of our Cancer Detection Center suggests definitely that when annual proctoscopic examination in all patients of forty-five years or more finds wide acceptance, the mortality from rectal cancer may begin to exhibit features of the decline in mortality attending wide application of the Papanicolaou test for cervical cancer.Although convincing histologic evidence is wanting of transformation of benign adenomatous polyps into invasive cancer, surgical elimination of such benign lesions in patients observed in our Cancer Detection Center was followed by a striking reduction in the anticipated occurrence of rectal cancer (72 per cent), followed in turn by a lesser need for radical operative procedures.Consistent early recognition of cancer of the colon awaits development, refinement, and wider application of more precise roentgeno-graphic technics.</abstract><note>These studies were sponsored by the Malignant Disease Research, the Donald J. 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