[Association of rectal neoplasm and rectal amebiasis].
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Recent experience in the behaviour of rectal carcinomas allows local tumour excision under certain conditions to be carried out as a "total excision-biopsy in healthy tissue". The indication for operation depends on criteria referring to the tumour as well as to the patient. The operation technique is that of transanal excision. Brief survey of personal results.
The number of patients with rectal cancer ist increasing steadily in the BRD. Even if diagnosis of early stages of rectal cancer is not too difficult, the fatal diagnostic delay is 7-8 months on the average. After operative methods have been subtilized and radicalized only preventive medical examinations and early public instruction may improve the prognosis of the patients concerned. Additional treatment with cytostatical agents seems to be promising. If preventive medical care makes it possible to detect rectal cancer in its early stages, the same operative results can be obtained by the meanwhile developed continence-preserving methods as by the hitherto carried out widespread and continence-sacrificing rectal resection as our own experiences prove.
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Efforts and results of curative and palliative treatment of rectum carcinoma in the very aged (more than 75 years old) are shown by a follow-up study including 212 patients operated in our clinic. Establishing an absolute indication for radical resection of the malignant tumor the contraindications in this collective are pointed out. There is practically no difference between the results of curative and palliative treatment of rectum carcinoma in the very aged regarding letality and morbidity if contraindications are strictly considered and accurate pre- and postoperative treatment is guaranteed.