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Carcinoma of the splenic flexure

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Diseases of the Colon & Rectum

Abstract

Carcinoma of the splenic flexure is uncommon and the diagnosis should be kept in mind, particularly in patients with recurring upper gastrointestinal symptoms. Resection is usually possible and operative complications are few. The site of the tumor does not affect long-term survival. Subtotal colectomy with ileosigmoid anastomosis would seem to be a safe method of treating patients with an obstructed carcinoma at that site.

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References

  1. Aldridge MC, Phillips RK, Hittinger R, Fry JS, Fielding LP. Influence of tumour site on presentation management and subsequent outcome in large bowel cancer. Br J Surg 1986;73: 663–70.

    PubMed  CAS  Google Scholar 

  2. Slaney G. Results of treatment of carcinoma of the colon and rectum. In: Irvine WT, ed. Modern trends in surgery. 3rd ed. London: Butterworth, 1971:69–89.

    Google Scholar 

  3. Newland RC, Chapuis PH, Pheils MT, Macpherson JG. The relationship of survival to staging and grading of colorectal cancer: a prospective study of 503 cases. Cancer 1981;47:1424–9.

    Article  PubMed  CAS  Google Scholar 

  4. Davis NC, Newland RC. Terminology and classification of colorectal adenocarcinoma: the Australian Clinicopathological Staging System. Aust NZ J Surg 1983;53:211–21.

    CAS  Google Scholar 

  5. Nie NH, Hull CH, Jenkins JG, Steinbrenner K, Bent DH. Statistical package for the social sciences. New York: McGraw-Hill, 1975.

    Google Scholar 

  6. Hughes ES. Carcinoma of the sigmoid colon, right colon and upper left colon (3 articles). Aust NZ J Surg 1966;35:183–94.

    Google Scholar 

  7. Lockhart-Mummery HE. Discussion on the management of acute large bowel obstruction due to carcinoma. Proc R Soc Med 1951;44:785–8.

    Google Scholar 

  8. Klatt GR, Martin WH, Gillespie JT. Subtotal colectomy with primary anastomosis without diversion in the treatment of obstructing carcinoma of the left colon. Am J Surg 1981;141: 577–8.

    Article  PubMed  CAS  Google Scholar 

  9. Morgan WP, Jenkins N, Lewis P, Aubrey DA. Management of obstructing carcinoma of the left colon by extended right hemicolectomy. Am J Surg 1985;149:327–9.

    Article  PubMed  CAS  Google Scholar 

  10. Killingback MJ. Extended resection for carcinoma of the splenic flexure. Proc R Soc Med (suppl) 1970;63:136–7.

    PubMed  Google Scholar 

  11. Chapuis PH, Dent OF, Fisher R, et al. A multivariate analysis of clinical and pathological variables in prognosis after resection of large bowel cancer. Br J Surg 1985;72:698–702.

    PubMed  CAS  Google Scholar 

  12. Newland RC, Chapuis PH, Smyth EJ. The prognostic value of substaging colorectal carcinoma: a prospective study of 1, 117 cases with standardised pathology. Cancer 1987;60:852–7.

    Article  PubMed  CAS  Google Scholar 

Download references

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Supported by a grant from Auto Suture Pty. Ltd., Australia.

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Steffen, C., Bokey, E.L. & Chapuis, P.H. Carcinoma of the splenic flexure. Dis Colon Rectum 30, 872–874 (1987). https://doi.org/10.1007/BF02555427

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  • DOI: https://doi.org/10.1007/BF02555427

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