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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3 Suppl
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pubmed:dateCreated |
1995-11-7
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pubmed:abstractText |
In the period 1968-1993, we treated 399 patients for colo-rectal cancer. Up to 1980, preceding large scale use of endoscopy, 217 patients, out of the group of 399, were submitted to surgery; at time of diagnosis all patients had symptoms of advanced colonic tumor (intestinal obstruction; palpable mass; significant rectal bleeding); none of the lesions detected was in Dukes A or B1 groups; 56 patients were in Dukes B2 and stages C1 + C2 + D were detected in 161 cases. In period 1981-1993 we treated 182 patients; in all cases the diagnosis consisted of endoscopical examinations. Out of this group 69 patients underwent endoscopic resection of polyps with focal neoplastic degeneration: 44 did not require surgery according to Haggitt criteria. In the group of 138 patients who underwent surgery, 89 were in Dukes A + B1 + B2 groups and 49 were in Dukes C1 + C2 + D groups. In our experience endoscopy is not essential in the clear cut colonic neoplasms, however it is an invaluable screening test in early stages, in poor symptomatic population, in elderly patients (> 50 y.o.) and in patients with non specific symptoms. We wish to emphasize how endoscopy has improved the results of colonic cancer surgery.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0300-8916
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
81
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
57-9
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pubmed:dateRevised |
2008-12-12
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pubmed:meshHeading |
pubmed-meshheading:7571055-Colonic Polyps,
pubmed-meshheading:7571055-Colonoscopy,
pubmed-meshheading:7571055-Colorectal Neoplasms,
pubmed-meshheading:7571055-Humans,
pubmed-meshheading:7571055-Neoplasm Staging,
pubmed-meshheading:7571055-Palliative Care,
pubmed-meshheading:7571055-Proctoscopy,
pubmed-meshheading:7571055-Retrospective Studies,
pubmed-meshheading:7571055-Survival Analysis,
pubmed-meshheading:7571055-Treatment Outcome
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pubmed:articleTitle |
Improvement of colo-rectal cancer surgery following introduction of endoscopical approach.
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pubmed:affiliation |
University of Milan-Chair of General Surgery II, Italy.
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pubmed:publicationType |
Journal Article
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