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Rectal and Anal Cancers

Conservative Treatment by Irradiation — an Alternative to Radical Surgery

  • Book
  • © 1982

Overview

Authors:
  1. Jean Papillon

    1. University of Lyon, Lyon, France
      Centre Léon Bérard, Lyon, France

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Table of contents (19 chapters)

  1. Front Matter

    Pages I-XVI
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  2. Introduction

    1. Introduction

      • Jean Papillon
      Pages 1-2

  3. Carcinoma of the Rectum

    1. Front Matter

      Pages 3-3
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    2. General Considerations

      • Jean Papillon
      Pages 5-7

    3. Pathology

      • Jean Papillon
      Pages 8-18

    4. Surgical Treatment

      • Jean Papillon
      Pages 19-38

    5. Rationale of Conservative Treatment for Cure

      • Jean Papillon
      Pages 39-52

    6. Conservative Treatment by Surgery

      • Jean Papillon
      Pages 53-62

    7. Conservative Treatment by Irradiation

      • Jean Papillon
      Pages 63-99

    8. Comparison of Surgical and Radiotherapeutic Methods of Local Therapy

      • Jean Papillon
      Pages 100-103

    9. Intracavitary Irradiation as a Supplementary Procedure After Local Excision — Problem of Villous Adenomas

      • Jean Papillon
      Pages 104-105

  4. Epidermoid Carcinoma of the Anus

    1. Front Matter

      Pages 107-107
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    2. Topographical Distribution of Anal Cancers

      • Jean Papillon
      Pages 109-109

    3. Epidermoid Carcinoma of the Anal Canal

      • Jean Papillon
      Pages 110-113

    4. General Features

      • Jean Papillon
      Pages 114-125

    5. Treatment

      • Jean Papillon
      Pages 126-137

    6. New Therapeutic Approaches

      • Jean Papillon
      Pages 138-144

    7. Experience at the Centre Léon Bérard

      • Jean Papillon
      Pages 145-170

    8. Indications for Treatment

      • Jean Papillon
      Pages 171-177

    9. Epidermoid Carcinoma of the Anal Margin

      • Jean Papillon
      Pages 178-185
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Keywords

About this book

Although attempts at radical removal of cancers of the rectum had been performed earlier, it was not until W. E. Miles in 1908 re­ ported his experience in the management of cancer in this ana­ tomic part, that the combined abdominoperineal resection be­ came the recognized and accepted approach for the treatment of this cancer. Miles reasoned that proctectomy removed the cancer, bearing a segment oflarge bowel but also the regional lymphatics into which the cancer spread, not only proximally, but laterally and distally as well. In his monograph in 1926 he stated: . . . There are, I hold, two main principles to be observed in the surgical treatment of cancer of the rectum and indeed of all cancers wherever they are found, first, ope­ ration should be based on a knowledge of the demonstrable facts of pathology, and, second, the most extensive operation possible in conformity with that knowl­ edge should be performed on all patients no matter how small or early the local manifestation of the disease may seem to be . . . This philosophy was appropriate in his time but today, with increased knowledge regarding the biological behavior of cancer of the rectum, the recognition of the importance of the extent of the primary lesion and staging of cancer, and the availability of multiple modalities in the management of neoplastic disease, the philosophy has appropriately changed.

Authors and Affiliations

  • University of Lyon, Lyon, France

    Jean Papillon

  • Centre Léon Bérard, Lyon, France

    Jean Papillon

Bibliographic Information

  • Book Title: Rectal and Anal Cancers

  • Book Subtitle: Conservative Treatment by Irradiation — an Alternative to Radical Surgery

  • Authors: Jean Papillon

  • DOI: https://doi.org/10.1007/978-3-642-68613-9

  • Publisher: Springer Berlin, Heidelberg

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer-Verlag Berlin Heidelberg 1982

  • Softcover ISBN: 978-3-642-68615-3Published: 07 December 2011

  • eBook ISBN: 978-3-642-68613-9Published: 06 December 2012

  • Edition Number: 1

  • Number of Pages: XVI, 204

  • Topics: Abdominal Surgery

  • Industry Sectors: Biotechnology, Finance, Business & Banking, Health & Hospitals, Pharma

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