Abstract
Pathology in the lower rectum, anal canal and perineum is common and causes much distress. It tends to be self-diagnosed and treated. Eventually a physician is consulted and the usual diagnosis proposed by the patient is “It's my hemorrhoids”. However, this may conceal a considerable spectrum of pathology. Diagnosis is usually not difficult but the treatment may not always be so straightforward. This paper discusses hemorrhoids, fissure-in-ano, abscesses, anal fistulae, condylomata and pruritus ani. High risk groups for carcinoma of the colon and rectum are identified. Hemoccult® testing should be instituted at the annual physical examination for both of these conditions.
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- Glober G. A., Kamiyama S., Nomura A., Shimada A., Abba B. C. Bowel transit-time and stool weight in populations with different colon-cancer risks. Lancet. 1977 Jul 16;2(8029):110–111. doi: 10.1016/s0140-6736(77)90120-9. [DOI] [PubMed] [Google Scholar]
- Graham S., Dayal H., Swanson M., Mittelman A., Wilkinson G. Diet in the epidemiology of cancer of the colon and rectum. J Natl Cancer Inst. 1978 Sep;61(3):709–714. [PubMed] [Google Scholar]
- Greegor D. H. Diagnosis of large-bowel cancer in the asymptomatic patient. JAMA. 1967 Sep 18;201(12):943–945. [PubMed] [Google Scholar]
- Heald R. J., Bussey H. J. Clinical experiences at St. Mark's Hospital with multiple synchronous cancers of the colon and rectum. Dis Colon Rectum. 1975 Jan-Feb;18(1):6–10. doi: 10.1007/BF02587230. [DOI] [PubMed] [Google Scholar]
- Jensen O. M., Maclennan R. Dietary factors and colorectal cancer in Scandinavia. Isr J Med Sci. 1979 Apr;15(4):329–334. [PubMed] [Google Scholar]
- Morris D. W., Hansell J. R., Ostrow J. D., Lee C. S. Reliability of chemical tests for fecal occult blood in hospitalized patients. Am J Dig Dis. 1976 Oct;21(10):845–852. doi: 10.1007/BF01072075. [DOI] [PubMed] [Google Scholar]
- Morson B. President's address. The polyp-cancer sequence in the large bowel. Proc R Soc Med. 1974 Jun;67(6 Pt 1):451–457. doi: 10.1177/00359157740676P115. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moskovitz M., White C., Barnett R. N., Stevens S., Russell E., Vargo D., Floch M. H. Diet, fecal bile acids, and neutral sterols in carcinoma of the colon. Dig Dis Sci. 1979 Oct;24(10):746–751. doi: 10.1007/BF01317206. [DOI] [PubMed] [Google Scholar]
- Mower H. F., Ray R. M., Shoff R., Stemmermann G. N., Nomura A., Glober G. A., Kamiyama S., Shimada A., Yamakawa H. Fecal bile acids in two Japanese populations with different colon cancer risks. Cancer Res. 1979 Feb;39(2 Pt 1):328–331. [PubMed] [Google Scholar]
- Mower H. F., Ray R. M., Stemmermann G. N., Nomura A., Glober G. A. Analysis of fecal bile acids and diet among the Japanese in Hawaii. J Nutr. 1978 Aug;108(8):1289–1296. doi: 10.1093/jn/108.8.1289. [DOI] [PubMed] [Google Scholar]
- Stewart H. L., Wiens E. Hemoccult test as a routine screening procedure for colorectal disease in the private clinic setting. Can J Surg. 1979 Nov;22(6):572–574. [PubMed] [Google Scholar]
- Winawer S. J., Miller D. G., Schottenfeld D., Leidner S. D., Sherlock P., Befler B., Stearns M. W., Jr Feasibility of fecal occult-blood testing for detection of colorectal neoplasia: debits and credits. Cancer. 1977 Nov;40(5 Suppl):2616–2619. doi: 10.1002/1097-0142(197711)40:5+<2616::aid-cncr2820400934>3.0.co;2-z. [DOI] [PubMed] [Google Scholar]
- Winawer S. J. Screening for colorectal cancer: an overview. Cancer. 1980 Mar 15;45(5 Suppl):1093–1098. doi: 10.1002/1097-0142(19800315)45:5+<1093::aid-cncr2820451311>3.0.co;2-d. [DOI] [PubMed] [Google Scholar]
- Winawer S. J., Sherlock P., Schottenfeld D., Miller D. G. Screening for colon cancer. Gastroenterology. 1976 May;70(5 PT1):783–789. [PubMed] [Google Scholar]