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  • Title: [Primary linitis plastica carcinoma of the colon and the rectum. Report of three personal cases (author's transl)].
    Author: Sibilly A, Jung F, Gelot JM, Neidhardt J, Anselm Y.
    Journal: Sem Hop; ; 57(13-14):682-7. PubMed ID: 6264617.
    Abstract:
    Primary linitis plastica carcinoma of the colon is rare. Only 19 cases have previously been described in the american literature and three french cases are reported. Clinically, this entity appears as an inflammatory lesion. It revolves to a stenotic lesion and death by metastases. Eighty-four per cent of carcinomas are beyond the splenic angle and sixty-six per cent are localized on rectum or distal sigmoid. These tumours are accessible to rectoscopic examination and biopsy which is the only examination able to assert the diagnosis of linitis. Histologically, nothing can distinguish a primary colonic localization from a metastasis. Therefore, it is very important to search for a primary localization especially gastric. Surgical resection is efficient with or without X ray-therapy as we have seen it with control of carcino-embryogenic antigene evolution in one of our cases. Prognosis is bad, especially among people over 50 years with metastasis.
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