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IMPROVEMENTS IN THE TREATMENT OF CANCER OF THE RECTUM

RICHARD B. CATTELL, M.D.
JAMA. 1936;107(25):2011-2016. doi:10.1001/jama.1936.02770510001001.
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Within the past few years there has been definite and important progress in the management of cancer of the rectum. The fundamental principles underlying the successful treatment of this condition have long been established as regards both palliative procedures for temporary benefit and the curative or radical operations that give some encouraging prospect of relief. An understanding of the extension of cancer of the rectum beyond the primary site soon led to better results. The earlier observations, of W. Ernest Miles,1 but recently reviewed by him, led to the general acceptance of the abdominoperineal resection as the ideal operation. The operation for cancer of the rectum must attempt to remove the involved rectum, an appreciable portion of bowel above and below the lesion and as wide an excision of mesentery and pelvic contents as possible. With this in mind, I strongly believe that the most radical operation should be

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