Summary
During a 12-year period, 185 patients with papillary adenomas of the colon and rectum were treated. The average age was 63 years and there was a 10 per cent female preponderance. Seventy-one per cent of the lesions occurred in the rectum and rectosigmoid, and 40 per cent of the patients had rectal bleeding. Fifty-two per cent of the lesions were malignant: however, only 9 per cent of the patients died with metastatic carcinoma. The five-year survival rate in patients with papillary adenocarcinoma was 75 per cent.
The results of this review indicate that a conservative approach to the surgical management of papillary adenoma of the colon and rectum should be encouraged, unless the tumor contains or is suspected to contain invasive carcinoma.
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Read at the joint meeting of the Section of Proctology, Royal Society of Medicine, the Section of Colonic and Rectal Surgery, Royal Australasian College of Surgeons, and the American Society of Colon and Rectal Surgeons, Washington, D. C., May 22 to 25, 1974.
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Jahadi, M.R., Bailey, W. Papillary adenomas of the colon and rectum: A twelve-year review. Dis Colon Rectum 18, 249–253 (1975). https://doi.org/10.1007/BF02587284
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DOI: https://doi.org/10.1007/BF02587284