ANALYSIS OF ROENTGEN-RAY DIAGNOSIS IN CARCINOMA OF THE CECUM AND ASCENDING COLON

1 December 1947

journal article
research article
Published by American College of Physicians in Annals of Internal Medicine

Vol. 27 (6) , 936-943
https://doi.org/10.7326/0003-4819-27-6-936

Abstract

Barium enema examinations in 50 cases of carcinoma of the cecum and ascending colon were analyzed. Correct diagnoses were made in 36 of 50 cases or 72% on the first examination. The correct diagnoses were made in an additional 10 cases by repeated Ba enema examinations. The most common diagnostic roentgen-ray findings were filling defects (32 cases) and irregularities (24 cases). With careful technic and prepn., using fluoroscopy and films, and repeated examinations, the error in roentgen-ray diagnosis of an organic lesion of the ceciim and ascending colon can be kept at 10% or less. Despite a negative Ba enema study, the examination should be repeated if there is clinical evidence suggesting a malignant lesion in this area.

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