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ABDOMINOPERINEAL OPERATION FOR CANCER OF THE RECTUM

T. E. JONES, M.D.
JAMA. 1930;95(16):1172-1175. doi:10.1001/jama.1930.02720160032010.
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A review of the history of cases of cancer of the rectum shows that there is still neglect of digital or proctoscopic examination of patients who present themselves for relief of bleeding from the rectum. Occasionally a patient does not seek medical advice until he is in a hopeless condition, but in this series of cases it was found that, while most of the patients did consult a physician from three to six months previously for the relief of rectal bleeding, the physician was misled by coexisting hemorrhoids and advised only palliative treatment. As a result, the patient left with a false sense of security and did not again seek relief for several weeks or months. That this is true is well borne out by the statistics, which show that in the past four years, from among 185 cases of cancer of the rectum seen at the Cleveland Clinic, 70

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