The diagnosis, surgical and radium therapy, and medical management of the significant neoplasms of the rectum and sigmoid colon are discussed in this volume. Bensaude stresses the dictum that cancer of the rectum, when uncomplicated, does not ordinarily produce cachexia. Particular emphasis is given to the importance of diagnostic proctoscopy. Digital examination is hardly mentioned. The introduction of proctoscopy is attributed to a Parisian surgeon, Desormeaux, and the German Kussmaul and others who utilized his method are accused of omitting reference to him. Differential diagnosis is treated extensively. Surgical extirpation is the method of choice for carcinoma. Radium is resorted to only in diffuse growths beyond surgical aid. Abdominal, perineal and abdominoperineal methods of approach for resection of the rectum and the terminal sigmoid are described. In 40 per cent of operated cases, no recurrence appeared after three years and longer.
A number of cases of rectocolic polyposis displayed clubbed