ON THE PROSTATIC CARCINOMA COMPLAINING OF THE RECTAL STRICTURE

Abstract

1. I have experienced two cases of prostatic carcinoma, one being 62 years old and the other 82, manifesting itself primarily with dysuria and successively with the symptoms of rectal stricture such as difficulty of defecation, pain in defecation and diarrhea.
In both cases the symptoms were so severe that colostomy was necessary. In the first case lumbar ureterostomy and castration were performed together with colostomy and then abdomino-perineal total cystectomy was done. In the second case radical operation was not performed, but only construction of ileum bladder and castration were done. Both of the cases are now well.
2. Such manifestation of the disease is seen a little more frequently in biopsy cases than in clinical ones in literature and it has been seen in 18.1 per cent of total caser of prostatic carcinoma during 28 months in our clinic. The fact teaches us that such manifestation is probably more common than it has been considered before.
3. Of types of the manifestation, Lazarus (1935) and Jackman and Anderson (1952) gave an account in detail and according to it, case 1 of mine may be considered as type 1 of Lazarus and case 2 as type 2 of Jackman and Anderson.
4. Calcification of prostatic carcinoma as found in case 1 is rarely seen in literature.