CLINICAL ASPECTS OF CARCINOMA OF THE CECUM AND ASCENDING COLON: REPORT OF 60 CASES

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Abstract
The clinical aspects of 60 cases of carcinoma of the cecum and ascending colon were analyzed. Pain was the predominant presenting symptom, being present in 76% of the patients. Many patients had symptoms of obstruction, with cramps and colic (38%) and vomiting (21%). Diarrhea was present in only 20% of the cases. The avg. duration of symptoms before surgery was 6 1/2 mo. 79% of the patients had an anemia with less than 13 g. Hb, but 54% had less than 11 g. Pathologically, the most noteworthy findings were that 32% had an annular type of growth and 25% had a constricting and obstructive lesion. The immediate post-operative mortality in the last 5 yrs. has been 8%, 2 of 24 cases. One of these was a poor renal risk and died from post-operative uremia. Follow up showed that 71% of those cases with no evident metastatic lesion survived, on an avg. for 3.8 yrs.; 29% of those with a metastatic lesion survived, on an avg. for 4 yrs.