[Multiple synchronous colorectal carcinomas].
The authors studied 118 patients with colon cancer (65 males and 53 female) admitted and operated at the Surgical Department of the Casalpusterlengo Hospital (Milan, Italy); over a period of 5 years (1986-1990). All patients were submitted to a pre-op. work-up with Barium enema, colonoscopy, abdominal ultrasound exam, and PAP-test and mammogram for females patients. We found 7 cases (5.9%) of multiple synchronous colon cancer (in 4 patients 2 cancers and in 3 patients 3 cancers). We also found extracolonic malignancy in the same patients (1 synchronous and 2 metachronous). New criteria are proposed to distinguish multiple colon cancers from multifocal colon cancers. It may be concluded that every patient with colo-rectal cancer requires a complete pre-op. examination of the colon and some tests to rule out other extracolonic malignancy.
Pricolo
R
R
Divisione di Chirurgia Generale, Ospedale Civile, Casalpusterlengo, Milano.
Salvatori
P
P
Rizzitelli
E
E
D000328:Adult; D000368:Aged; D001466:Barium Sulfate; D003113:Colonoscopy; D015179:Colorectal Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D004733:Enema; D005260:Female; D006801:Humans; D008297:Male; D008327:Mammography; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D014463:Ultrasonography; D014626:Vaginal Smears
D001466:Barium Sulfate
Carcinomi colo-rettali pluricentrici, sincroni.