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Rectal and Anal Cancers

Conservative Treatment by Irradiation — an Alternative to Radical Surgery

  • Jean Papillon

Table of contents

  1. Front Matter
    Pages I-XVI
  2. Introduction

    1. Jean Papillon
      Pages 1-2
  3. Carcinoma of the Rectum

    1. Front Matter
      Pages 3-3
    2. Jean Papillon
      Pages 5-7
    3. Jean Papillon
      Pages 8-18
    4. Jean Papillon
      Pages 19-38
    5. Jean Papillon
      Pages 53-62
    6. Jean Papillon
      Pages 63-99
  4. Epidermoid Carcinoma of the Anus

    1. Front Matter
      Pages 107-107
    2. Jean Papillon
      Pages 109-109
    3. Jean Papillon
      Pages 110-113
    4. Jean Papillon
      Pages 114-125
    5. Jean Papillon
      Pages 126-137
    6. Jean Papillon
      Pages 138-144
    7. Jean Papillon
      Pages 145-170
    8. Jean Papillon
      Pages 171-177
    9. Jean Papillon
      Pages 178-185
    10. Jean Papillon
      Pages 186-188
    11. Jean Papillon
      Pages 189-198
  5. Back Matter
    Pages 199-204

About this book

Introduction

Although attempts at radical removal of cancers of the rectum had been performed earlier, it was not until W. E. Miles in 1908 re­ ported his experience in the management of cancer in this ana­ tomic part, that the combined abdominoperineal resection be­ came the recognized and accepted approach for the treatment of this cancer. Miles reasoned that proctectomy removed the cancer, bearing a segment oflarge bowel but also the regional lymphatics into which the cancer spread, not only proximally, but laterally and distally as well. In his monograph in 1926 he stated: . . . There are, I hold, two main principles to be observed in the surgical treatment of cancer of the rectum and indeed of all cancers wherever they are found, first, ope­ ration should be based on a knowledge of the demonstrable facts of pathology, and, second, the most extensive operation possible in conformity with that knowl­ edge should be performed on all patients no matter how small or early the local manifestation of the disease may seem to be . . . This philosophy was appropriate in his time but today, with increased knowledge regarding the biological behavior of cancer of the rectum, the recognition of the importance of the extent of the primary lesion and staging of cancer, and the availability of multiple modalities in the management of neoplastic disease, the philosophy has appropriately changed.

Keywords

Analkrebs Mastdarmkrebs behavior cancer cognition management pathology patients philosophy radiation surgery treatment

Authors and affiliations

  • Jean Papillon
    • 1
    • 2
  1. 1.University of LyonLyonFrance
  2. 2.Centre Léon BérardLyonFrance

Bibliographic information

  • DOI https://doi.org/10.1007/978-3-642-68613-9
  • Copyright Information Springer-Verlag Berlin Heidelberg 1982
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-642-68615-3
  • Online ISBN 978-3-642-68613-9
  • Buy this book on publisher's site