Summary and Conclusions
A series of 2,508 patients with malignancy of the large intestine has been reviewed to determine the incidence of primary multiple neoplasms, which proved to be 9.1 per cent. Attention is directed to the frequency of involvement of the colon, rectum and other organs. It is recommended that prior to performing surgical operations on the colon, the various systems be thoroughly evaluated; that during the operation, meticulous exploration be performed and colonoscopy be utilized. After surgery, all patients should be checked clinically and radiologically at regular intervals.
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References
Albrecht, P.: Über die Multiplizität primärer maligner Geschwülste. Oncologia.5: 12, 1952.
Bacon, H. E.: Multiple malignant tumors with involvement of the lower bowel: Report of multiple primary and contact growths. Am. J. Cancer.35: 243, 1939.
Bacon, H. E.: Anus, Rectum, Sigmoid Colon: Diagnosis and Treatment. Ed. 3, Philadelphia, J. B. Lippincott Company, 1949, vol. 2, p. 555.
Bacon, H. E.: Cancer of the Colon, Rectum and Anal Canal. Ed. 1, Philadelphia, J. B. Lippincott Company, 1964, p. 217.
Bacon, H. E. and O. C. Gass: Multiple primary malignant neoplasms of the rectum and sigmoid colon: Report of five additional cases. Am. J. Surg.68: 240, 1945.
Bacon, H. E. and R. A. McGregor: Multiple primary malignant tumors of the colon: Report of 141 cases. J. Internat. Coll. Surgeons.28: 618, 1957.
Bacon, H. E. and M. C. Tavenner: Multiple primary malignant tumors involving the colon and rectum: Report of ninety-four cases. Am. J. Surg.83: 55, 1952.
Behrend, M.: Carcinoma of colon: Treatment depending on location of lesions. Surg., Gynec. & Obst.65: 505, 1937.
Berson, H. L. and L. Berger: Multiple carcinomas of the large intestine. Surg., Gynec. & Obst.80: 75, 1945.
Billroth, I.: Die Allgemeine Chirurgische Pathologie und Therapie. Berlin, G. Reimer, 1889, p. 908.
Bonser, G. M. and L. M. Waiman: Further experimental study of antagonism between one malignant tumour and appearance of another in same animal. J. Path. & Bact.52: 263, 1941.
Boyd, W.: Textbook of Pathology. Ed. 3, Philadelphia, Lea & Febiger, 1938, pp. 296; 558.
Brindley, G. V. and J. S. Rice, Jr.: Multiple primary malignancies of the large intestine. S. Clin. North America.32: 1499, 1952.
Bunting, C. H.: Multiple primary carcinoma of the ileum. Bull. Johns Hopkins Hosp.15: 389, 1904.
Cramer, W.: On an antagonism in the development of malignancy in two different organs. J. Path. & Bact.43: 77, 1936.
Czerny: Aus der Heidelberger chirurgischen Klinik: Nachtrag zur Darmresection. Berl. klin. Wchnschr.17: 683, 1880.
Desaive, P. and E. Monnoyer: Considérations cliniques et pathologiques au sujet des cancers recto-coliques multiples. Acta gastroenterol. belg.13: 999, 1950.
Dukes, C.: The hereditary factor in polyposis intestini, or multiple adenomata. Cancer Rev.5: 241, 1930.
Ehrlich, P.: Experimentelle Studien an Mäusetumoren. Ztschr. Krebsforsch.5: 50, 1907.
Fenger, C.: Double carcinoma of the colon. J.A.M.A.11: 606, 1888.
Gaylord, H. R., G. H. A. Clowes and F. W. Baeslack: An anti-carcinoma serum. Med. News.86: 91, 1905.
Ginzburg, L. and D. A. Dreiling: Successive independent (metachronous) carcinoma of the colon. Ann. Surg.143: 117, 1956.
Goligher, J. C., C. E. Dukes and H. J. R. Bussey: Local recurrences after sphinctersaving excisions for carcinoma of the rectum and rectosigmoid. Brit. J. Surg.39: 199, 1951.
Greene, H. N. and J. S. Strauss: Multiple primary tumors in the rabbit. Cancer.2: 673, 1949.
Hiel, M.: Cancers primitifs multiples rectocoliques et association d’une tumeur gastrique à une tumeur rectocolique. Acta chir. belg.52: 777, 1953.
Hurt, H. H. and A. C. Broders: Multiple primary malignant neoplasms. J. Lab. & Clin. Med.18: 765, 1933.
Kirshbaum, J. D. and F. L. Shiveley, Jr.: Multiple primary malignant tumors. J. Lab. & Clin. Med.24: 283, 1938.
Lockhart-Mummery, J. P. and C. E. Dukes: Familial adenomatosis of the colon and rectum: Its relationship to cancer. Lancet.2: 586, 1939.
Lombard, H. L. and S. Warren: Association of other malignant tumors with cancer of the skin. Am. J. Pub. Health.33: 533, 1943.
McGregor, R. A. and H. E. Bacon: Multiple cancers in colon surgery: Report of 162 cases. Surgery.44: 828, 1958.
Mercanton, F.: Des carcinomes primaires multiples. Rev. méd. Suisse Rom.13: 173, 1893.
Michaelis, L.: Weitere experimentelle Untersuchungen über Tierkrebs. Deutsche med. Wchnschr.33: 826, 1907.
Mider, G. B., J. A. Schilling, J. C. Donovan and E. S. Rendall: Multiple cancer: A study of other cancers arising in patients with primary malignant neoplasms of the stomach, uterus, breast, large intestine, or hematopoietic system. Cancer.5: 1104, 1952.
Moertel, C. G., J. A. Bargen and M. B. Dockerty: Multiple carcinomas of the large in testine and a study of 261 cases. Gastroenterology.34: 85, 1958.
Muller, R. B.: Uber multiple, nichtsytematisierte Primarcarcinome und ihre Haufigkeit. Ztschr. Krebsforsch.31: 339, 1930.
Owen, L. J.: Multiple malignant neoplasms. J.A.M.A.76: 1329, 1921.
Peller, S.: Carcinogenesis as a means of reducing cancer mortality. Lancet.2: 552, 1936.
Rankin, F. W. and C. C. Johnston: Multiple malignant lesions of the large bowel. Internat. Clin.2(n.s.4): 246, 1941.
Schmidt, E. A.: Incidence of multiple primary tumors and the problem of acquired cancer immunity. Radiology.39: 208, 1942.
Slaughter, D. P.: The multiplicity of origin of malignant tumors: Collective review. Internat. Abstr. Surg.79: 89, 1944.
Spear, H. C. and S. C. Brainard: Cancer of the large bowel-an analysis of 580 lesions. Ann. Surg.134: 934, 1951.
Stalker, D. K., R. B. Phillips and J. deJ. Pemberton: Multiple primary malignant lesions. Surg., Gynec. & Obst.68: 595, 1939.
Stenstrom, J. D. and H. S. Ford: Carcinoma of the colon: Analysis of 1,000 cases with particular reference to polyps and multiple carcinoma. Am. J. Surg.88: 1, 1954.
Thomas, J. F., M. B. Dockerty and J. M. Waugh: Multiple primary carcinomas of the large intestine. Cancer.1: 564, 1948.
Thorlakson, P. H. T.: The incidence of multiple malignant growths of the large bowel. Manitoba M. Rev.32: 158, 1952.
Tondreau, R. L.: Multiple primary carcinomas of the large intestine. Am. J. Roentgenol.71: 794, 1954.
Ward, R.: Radium treatment of epitheliomata of the skin. Brit. M. J.2: 511, 1930.
Warren, S. and T. Ehrenreich: Multiple primary malignant tumors and susceptibility to cancer. Cancer Res.4: 554, 1944.
Warren, S. and O. Gates: Multiple primary malignant tumors: Survey of literature and statistical study. Am. J. Cancer.16: 1358, 1932.
Watson, T. A.: Incidence of multiple cancer. Cancer.6: 365, 1953.
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Read at the meeting of the American Proctologic Society, Cleveland, Ohio, June 20 to 22, 1966.
Supported in part by grant, Research Foundation American Proctologic Society.
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Diamante, M., Bacon, H.E. Primary multiple malignancy of the colon and rectum. Dis Colon Rectum 9, 441–446 (1966). https://doi.org/10.1007/BF02617441
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DOI: https://doi.org/10.1007/BF02617441