Bolanca A
Acta Chir Iugosl. 1977;24(1 Suppl):377-80.
The better operative results and lasting cure of malignant tumors can be ascribed to early detection rather than to the improvement of surgical techniques. In the cancer of the breast and gynecological carcinoma the importance of early detection has been more emphasized than in cancers of other location. On a total of 5210 rectoscopies performed the authors detected 285 malignant tumors of the rectum. On the average the diagnosis was made 9 months after the appearance of the first symptoms. In 74% of cases the tumors were detected already by the digital examination, while in 46.9% of the rest of the patients inoperable carcinoma was involved. By obligatory digital examination in all cases of "hemorrhoidal" complaints and additional rectoscopy neoplasms of the rectum can be detected at an early time and more patients can be afforded lasting cure.
恶性肿瘤更好的手术效果和持久治愈应归功于早期发现，而非手术技术的改进。在乳腺癌和妇科癌症中，早期发现的重要性比其他部位的癌症更受强调。作者在总共5210次直肠镜检查中检测到285例直肠恶性肿瘤。平均而言，在出现首个症状9个月后才做出诊断。在74%的病例中，肿瘤已通过指检检测到，而在其余患者中，46.9%涉及无法手术的癌症。通过对所有“痔疮”主诉病例进行强制性指检以及额外的直肠镜检查，可以早期发现直肠肿瘤，从而使更多患者能够获得持久治愈。
