A clinico pathological study of cancer of the rectum. A review of 117 cases

Abstract

A retrospective clinico pathological study of 117 cases of cancer of the rectum is presented. Problems concerning the diagnosis and management of this disease in a developing country like India are highlighted. Due to the lack of education among people and the inadequate local medical facilities most of these patients are treated for haemorrhoids or other simple lesions for a long time. By the time the patient reaches the hospital and a final diagnosis is made the disease is often quite far advanced and beyond any curative surgical procedure. Non acceptance of a permanent colostomy by the patients and the problems of cost and management of a sophisticated colostomy bag outfit are mentioned. A new, simple and cheap method for colostomy care has been described. Emphasis is laid on the education of the public and proper examinations involving rectal digital, proctoscopy and sigmoidoscopy by the physician for early detection of this disease to increase the five year or greater survival rate.