Zusammenfassung
Das kolorektale Karzinom gehört zu den häufigsten Krebsleiden des Menschen. Sein Vorkommen ist regional aber äußerst unterschiedlich. Ganz allgemein läßt sich feststellen, daß diese Krebse häufig („epidemisch“) in den Industrienationen westlicher Prägung (Ausnahme Japan), selten („endemisch“) in Agrarstaaten und Entwicklungsländern sind. Die höchsten Inzidenzzahlen werden aus den Ländern des anglo-amerikanischen Kulturkreises, die niedrigsten aus der afrikanischen Stammbevölkerung berichtet (SEGI et al. 1960 ff.; BERG u. HOWELL 1974 u.a.). Kolon- und Rektumkarzinom verhalten sich epidemiolo-gisch uneinheitlich, wenn auch mit analogen Trends. Die weltweiten Häufigkeits-unterschiede sind beim Kolonkarzinom ausgeprägter als beim Rektumkarzinom. Länder mit hohen Kolonkarzinomraten weisen nicht unbedingt auch hohe Rektumkarzinomquoten auf (z.B. USA, Kanada, Australien). Andererseits ha-ben Staaten mit durchschnittlicher Kolonkarzinominzidenz vergleichsweise hones Vorkommen an Rektumkarzinomen (Dänemark — höchste Rektumkarzinominzidenz überhaupt, BRD, DDR, Österreich). In Japan, der DDR (vgl. BERNDT u. GREGOR 1975; BERNDT u. VARADI 1974) u.a. ist das Rektumkarzinom verbreiteter als das Kolonkarzinom (Abb. 1).
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Schreiber, H.W., Winkler, R. (1982). Bösartige Geschwülste des Kolons und Rektums. In: Bläker, F., et al. Dickdarm. Handbuch der inneren Medizin, vol 3 / 4. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67945-2_33
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