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Coexisting carcinoma with peridiverticulitis of the colon

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Diseases of the Colon & Rectum

Summary

We have reported a series of 351 patients undergoing resection for diverticulitis, in 27 of whom a coexisting carcinoma in the same segment was found, an incidence of 7.7 per cent. In 13 instances cancer was not suspected preoperatively. Even by palpation of the isolated protected segment of involved bowel, we were unable to diagnose accurately the presence of the carcinoma, an error of 40.7 per cent. We believe that until more exacting methods of diagnosis are made available, and in view of the increase in life expectancy, as well as the increased incidence of cancer, where there is the slightest measure of doubt, the apparent diverticular segment should be removed as if it were frank cancer. We further plead for higher levels of suspicion and earlier surgical extirpation.

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References

  1. Bacon HE, Shindo K: Surgical management of diverticulitis of the colon. Surg Gynecol Obstet 132: 1049, 1971

    PubMed  CAS  Google Scholar 

  2. Carroll PT: Carcinoma complicating diverticular disease of the large bowel (unpublished data)

  3. Eddy HJ: Colonoscope (unpublished data)

  4. Gold P: The role of immunology in human cancer research. Can Med Assoc J 103: 1043, 1970

    PubMed  CAS  Google Scholar 

  5. Gold P, Freedman SO: Specific carcinoembryonic antigens of the human digestive system. J Exp Med 122: 467, 1965

    Article  PubMed  CAS  Google Scholar 

  6. Hampton JM, Bacon HE, Myers J: A simplified method for the diagnosis of cancer of the colon by exfoliative cytology. Dis Colon Rectum 5: 145, 1962

    PubMed  CAS  Google Scholar 

  7. Lloyd-Davies OV: Diverticulitis. Proc R Soc Med 46: 407, 1953

    PubMed  CAS  Google Scholar 

  8. Lo Gerfo P, Krupey J, Hansen HJ: Demonstration of an antigen common to several varieties of neoplasia: Assay using zirconyl phosphate gel. N Engl J Med 285: 138, 1971

    Article  PubMed  Google Scholar 

  9. Martin F, Martin MS: Demonstration of antigens related to colonic cancer in the human digestive system. Int J Cancer 6: 352, 1970

    Article  PubMed  CAS  Google Scholar 

  10. Mayo CW, Delaney LT Jr: Colonic diverticulitis associated with carcinoma: Review of 50 cases. Arch Surg 72: 957, 1956

    CAS  Google Scholar 

  11. Mortn DL, Goldman L: Differential diagnosis of diverticultis and carcinoma of the sigmoid colon. Am J Surg 103: 55, 1962

    Article  Google Scholar 

  12. Overholt BF: Flexible fiberoptic sigmoidoscopy: Technique and preliminary results. Cancer 28:123, 1971

    Article  PubMed  CAS  Google Scholar 

  13. Ponka JL, Brush BE, Fox JD: Differential diagnosis of carcinoma of the sigmoid and diverticulitis: Evaluation of aids. JAMA 172: 515, 1960

    PubMed  CAS  Google Scholar 

  14. Raskin HF, Pleticka S: Exfoliative cytology of the colon: Fifteen years of lost opportunity. Cancer 28: 127, 1971

    Article  PubMed  CAS  Google Scholar 

  15. Rowe RJ, Kollmar GH: Diverticulitis of the colon complicated by carcinoma. Int Abstr Surg 94: 1, 1952

    PubMed  CAS  Google Scholar 

  16. Spjut HJ, Margulis AR, McAlister WH: Microangiographic study of gastrointestinal lesions. Am J Roentgenol Radium Ther Nucl Med 92: 1173, 1964

    PubMed  CAS  Google Scholar 

  17. Ström BG, Winberg T: Percutaneous selective angiography of the inferior mesenteric artery. Acta Radiol (Stockh) 57: 401, 1962

    Article  Google Scholar 

  18. Thompson DMP, Krupey J, Freedman SO, et al. The radioimmunoassay of circulating carcinoembryonic antigen of the human digestive system. Proc Natl Acad Sci USA 64: 161, 1969

    Article  Google Scholar 

  19. Wisseman CL Jr, Lemon HM, Lawrence KB: Cytologic diagnosis of cancer of the descending conlon and rectum. Surg Gyncol Obstet 89: 24, 1949

    Google Scholar 

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Author notes

  1. G. N. Tse M.D.

    Present address: St. Luke's and St. Joseph's Hospitals, Philadelphia, Pennsylvania

Authors and Affiliations

  1. St. Luke's and St. Joseph's Hospitals, Philadelphia, Pennsylvania

    Harry E. Bacon M.D. (Residents in Colon and Rectal Surgery) & T. Herabat M.D.

Authors
  1. Harry E. Bacon M.D.
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  2. G. N. Tse M.D.
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  3. T. Herabat M.D.
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Additional information

Read at the meeting of the American Proctologic Society, New York, New York, June 11 to 14, 1972.

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Bacon, H.E., Tse, G.N. & Herabat, T. Coexisting carcinoma with peridiverticulitis of the colon. Dis Colon Rectum 16, 500–503 (1973). https://doi.org/10.1007/BF02588877

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  • DOI: https://doi.org/10.1007/BF02588877

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