[Non-Hodgkin lymphoma of the rectum].
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Taking into consideration indications and contraindications the coloscopy is a valuable diagnostic method in the programme of the diagnostics of colon diseases after the application of rectoscopy and contrast enema in the colon, which was well tolerated by our patients up to the old age. Decisive for a good evidence are the preparation of the patient to the examination and the experience of the examinator in the overcoming of the anatomical course of the colon.
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A report and analysis is given about the results of totally 1665 rectoscopical investigations, which were done in unselected patients suffering from common internal diseases. In 7 cases (that means 0.4% of the whole collective) a carcinoma could be detected. An evidently great number of 304 patients were carriers of polyps (that means 17.6% of the whole collective), of whom 77% were male and 23% were female carriers of polyps. The differentiation of the polyps moreover was done according to the histological criteria: There were 126 prospectively precancerous polyps (that means 7.4% of the whole collective of 1665 patients). These results are compared with data in the literature. The number of prospectively important findings is found higher than commonly is expected. The security of the diagnostic significance of the rectoscopical investigations cannot be obtained by other methods of prophylactical investigations. Therefore this method should be practiced in internal, but among all in clinical conditions in first stage. Only more consequent medical procedures in future are able to help to gain more successful results in treating colorectal cancer.
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