. American practice of surgery ; a complete system of the science and art of surgery . ^ one of the four types which we have just a similar manner, any one of them may take on a myxomatous, mucous, orcystic degeneration. Symptoms.—The symptoms depend upon the type of the tumor, its site inthe rectum, and the stage of the disease, but, generally speaking, it is a matterof surprise, in all forms of cancer of the rectum, if located above the internalsphincter, how few and how faintly pronounced are the symptoms, even afterthe disease has advanced to considerable proportions. This fac


. American practice of surgery ; a complete system of the science and art of surgery . ^ one of the four types which we have just a similar manner, any one of them may take on a myxomatous, mucous, orcystic degeneration. Symptoms.—The symptoms depend upon the type of the tumor, its site inthe rectum, and the stage of the disease, but, generally speaking, it is a matterof surprise, in all forms of cancer of the rectum, if located above the internalsphincter, how few and how faintly pronounced are the symptoms, even afterthe disease has advanced to considerable proportions. This fact seems to be. Fig. 371.—Drawing Illustrates a Case of Adeno-Carcinoma of the Rectum. (Earlo and Tuttle.) one of the chief reasons why so many cases of cancer of the rectum do not reachthe surgeon until they are inoperable, and it emphasizes the necessity for thefamily physician to make a digital examination of the rectum as soon as hisattention is called to such vague symptoms as a sense of weight and discom-fort in the region of the sacrum or around the pelvis; the existence of constipa-tion alternating with diarrha^a; the occurrence of discharges of mucus tingedor not \\ath blood; the recurrence of bleeding on defecation, and especially thepresence of dark blood in the stools; the patients gradual loss of strength;and the existence of pain, at first vague, but afterward more pronounced. SURGICAL DISEASES OF THE ANUS AND RECTUM. 901 Even by the time these symptoms attract the attention of the patient andphysician, the disease is probably well developed, and it is impossible to saywhen it began.


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1906