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June 7, 1919, Vol 72, No. 23 >

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ARTICLE | June 7, 1919

THE ADVANTAGES OF THE VAGINAL ROUTE IN RESECTION OF THE RECTUM FOR CANCER

WILLIAM EDGAR DARNALL, A.M., M.D.
JAMA. 1919;72(23):1670-1672. doi:10.1001/jama.1919.02610230024007.
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ABSTRACT

No attempt will be made here to enter into a full discussion of cancer of the rectum. That subject is too large for the scope of this paper. It is a well known fact that sufferers from cancer of the rectum may live a long time, much longer than those who suffer from cancer in almost any other part of the body. Cancer of the rectum offers more prognostic hope than does cancer in other locations. This is largely due to two factors: The type of cancer is usually adenocarcinoma, which is slow growing; and the region about the rectum is very scant in lymphatic supply, and therefore metastastis is slow and does not occur until the growth has encroached on other surrounding structures.

It is remarkable that cancer of the rectum may exist for so long a time without being discovered, and when discovered is found not to have

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