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A Review of Three Hundred Fifty-Five Cases of Carcinoma of the Colon

JOSEPH L. PONKA, M.D.; J. DeWITT FOX, M.D.; BROCK E. BRUSH, M.D.

AMA Arch Surg. 1959;79(3):373-384.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The fact that diverticulitis and diverticulosis may mask or mimic carcinoma was first stressed by Moynihan,¹⁷ who, in 1906, presented six such cases to the Clinical Society of London. Since then, numerous observers, including Mayo and Blunt,¹⁴ Jones,¹⁰ Mayo and Delaney,¹⁵ and Edwards,⁶ have recognized this problem. Pemberton¹⁹ noted that 25% of 104 of his cases could not be distinguished between carcinoma and diverticulitis. In 30 patients Graham⁹ reports that the roentgen diagnosis was correct in 57%. Jones¹⁰ stated that the first case of diverticulitis ever recorded at the Massachusetts General Hospital had to be changed in three months to carcinoma.

While in most cases the diagnosis is relatively easy, at the Massachusetts General Hospital in a series of resections in which the preoperative diagnosis was cancer 18% of the specimens were proved by the pathologists to be diverticulitis. To err in . . . [Full Text PDF of this Article]

Author Affiliations
Detroit

From the Department of General Surgery Henry Ford Hospital.

Footnotes
Submitted for publication Feb. 27, 1959.

Read at the 16th Annual Meeting of the Central Surgical Association, Montreal, Feb. 20, 1959.

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