During the ten year period of this retrospective study, 66 of 1,451 patients with carcinoma of the colon and rectum had carcinoma of the cecum. The most frequent symptoms were nonspecific and caused by anemia which, in some instances, were treated without adequate investigation. The standard and most appropriate treatment for carcinoma of the cecum is a right hemicolectomy with ileotranversostomy and, when necessary and feasible, en bloc resection of involved parts of the abdominal wall. In the absence of nodal disease or distant metastases, extension to the abdominal wall does not adversely influence the prognosis. The surgeon must remain aware of the possibility of coexisting carcinoma of the cecum and appendicitis. Any patient with a mass or a persistent draining sinus after an appendectomy or drainage of an appendical abscess should be suspected of having carcinoma of the cecum. The over-all five year survival rate in this series is 33%, and if curative resections alone are considered, it is 44%, with an operative mortality of 3%. More recent evidence indicates that there has been a shortening of the delay in treatment, and we believe future studies will show an improvement in these figures.
在这项回顾性研究的十年期间，1451例结肠直肠癌患者中有66例患有盲肠癌。最常见的症状是非特异性的，由贫血引起，在某些情况下，未经充分检查就进行了治疗。盲肠癌的标准且最合适的治疗方法是右半结肠切除术加回肠横结肠吻合术，必要且可行时，整块切除腹壁受累部分。在没有淋巴结疾病或远处转移的情况下，肿瘤侵犯腹壁不会对预后产生不利影响。外科医生必须始终意识到盲肠癌合并阑尾炎的可能性。阑尾切除术后或阑尾脓肿引流后有肿块或持续引流窦道的任何患者都应怀疑患有盲肠癌。该系列的总体五年生存率为33%，若仅考虑根治性切除术，则为44%，手术死亡率为3%。最新证据表明治疗延迟时间有所缩短，我们相信未来的研究将显示这些数据会有所改善。
