Recurrent carcinoma of the colon at the site of the anastomosis. Roentgen observations.

Abstract

The occurrence of multiple malignant tumors has always attracted the interest of pathologists and clinicians. The problem consists in determining whether the development of a second growth is entirely independent of the first, unrelated either to metastasis or to recurrence following incomplete eradication. In the case of carcinoma of the colon, a particular type of local recurrence has recently been observed. As pointed out by Cole (1), such a carcinoma, even after ample resection, may recur at the site of anastomosis. Goligher, Dukes, and Bussey (2) have also been impressed with the frequent recurrence of carcinoma—particularly carcinoma of the sigmoid and, to a lesser degree, of the descending colon—at the site of the end-to-end anastomosis. Since we have been unable to find any discussion of this problem as it concerns the roentgenologist, our observations are presented. Case I: S. G., a 68-year-old woman, had a constricting annular mucoid adenocarcinoma of the mid-portion of the descending colon, whi...