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Cancer of the cecum

A review of the clinical features

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Conclusions

(1) Cancer of the cecum is estimated to comprise 6 to 20 per cent of carcinomas of the large bowel.

(2) A review of 50 case histories showed an average age of 47.8 years. The incidence was equal for males and females.

(3) The average duration of symptoms before operation was 10.1 months.

(4) The presenting symptoms in order of frequency were pain, weight loss, the presence of a right a lower quadrant mass, and moderate to marked anemia.

(5) Radiologic examination by barium enema is the most accurate aid in diagnosis.

(6) Cancer of the cecum may simulate acute or recurring appendicitis. When a history suggestive of appendicitis is obtained in middle-aged persons, adequate examination of the cecal region should be done at the time of operation.

(7) Cecal carcinomas are slow-growing and only moderately invasive. Distant metastases occur comparatively late.

(8) Cancer of the cecum must always be considered in the differential diagnosis of right lower quadrant pain, a right lower quadrant mass, or severe unexplained anemia occurring in adults.

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Jarvis, J.L., Cayer, D. Cancer of the cecum. Jour. D. D. 14, 95–98 (1947). https://doi.org/10.1007/BF03001072

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Keywords

  • Appendicitis
  • England Journal
  • Intussusception
  • Acute Appendicitis
  • Carcinoid Tumor