[THE SCINTIGRAPHIC DETECTION OF CANCER METASTASES AND ITS DIAGNOSTIC, THERAPEUTIC AND PROGNOSTIC IMPORTANCE].
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From a case material of 151 rectal carcinoma patients it has been established that the duration of anamnesis from the first consultation of the doctor to the onset of treatment was in 40 percent of the cases longer than 3 months, and in 17 percent of the cases, longer than 6 months. Only 36 percent of the patients with clinically manifest disease underwent diagnosis within a month following the first consultation of the doctor; in 37 and 15 percent of the cases, diagnosis was made only after 3 and 6 months, respectively. The causes of iatrogenic delay of diagnosis are analyzed and demonstrated by typical examples.
An autopsy case of a huge, rapidly progressive Bellini duct carcinoma is presented. During a 6-month period the patient was hospitalized many times in different medical units but her illness has not been diagnosed until the final weeks. The author discusses the pitfalls of diagnosis from clinicopathological point of view.