Papillary adenomas of the colon and rectum: A twelve-year review |
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Authors: | Dr. M. Reza Jahadi M.D. Wallace Bailey M.D. |
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Affiliation: | 1. Department of Colon and Rectal Surgery, Baylor University Medical Center, Dallas, Texas
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Abstract: | During a 12-year period, 185 patients with papillary adenomas of the colon and rectum were treated. The average age was 63 years and there was a 10 per cent female preponderance. Seventy-one per cent of the lesions occurred in the rectum and rectosigmoid, and 40 per cent of the patients had rectal bleeding. Fifty-two per cent of the lesions were malignant: however, only 9 per cent of the patients died with metastatic carcinoma. The five-year survival rate in patients with papillary adenocarcinoma was 75 per cent. The results of this review indicate that a conservative approach to the surgical management of papillary adenoma of the colon and rectum should be encouraged, unless the tumor contains or is suspected to contain invasive carcinoma. |
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