Abstract
One hundred and thirty-two patients treated at our clinic for rectal carcinoma during the past 19 years were herein studied statistically.
There were 76 men and 56 women members in the series, with a mean age of 54.5 years. Thirtytwo patients (24.2%) disclosed carcinomatous tendency in their family history. A total of 77 patients (58.3%) had anal involvement at some time in the past history. Chief complaints at the first examination were anal bleeding (63.6%), anal pain (13.6%), constipation (11.4%) and difficulties in bowel movement (7.6%). The duration of symptoms prior to admission was within 1 year (86.2%) in most of the patients presented here. The site of occurrence of the lesion was most frequently observed at the ampulla (64.3%) and the anterior wall of the rectum (33.3%) in the patients with radical operation. Pathological features were adenocarcinoma, carcinoma simplex, adenoacantoma, and squamous cell carcinoma in 76, 4, 1 and 4 patients respectively. Radical operation, mainly abdomino-perineal method, was performed in 100 patients, in whom only 2 patients underwent the second stage operation. Three-year, 5-year and 10-year-survival rate was 55.7%, 44.4% and 26.3% respectively.
