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| Dedication | |
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| Preface | |
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| Colorectal Disorders | |
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| Benign Neoplasms of the Colon and Rectum | |
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| Polyps of Colon and Rectum | |
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| Familial Adenomatous Polyposis | |
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| Hemangiomas of Large Bowel | |
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| Leiomyomas of Large Bowel | |
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| Lipomas of Large Bowel | |
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| References | |
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| Large Bowel Carcinoma: Screening, Surveillance, and Follow-Up | |
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| Detection of Early Colorectal Carcinoma | |
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| Early Diagnosis of Colorectal Carcinoma | |
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| What Is Screening? | |
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| Who Should Be Screened? | |
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| Screening People at Average Risk for Colorectal Carcinoma | |
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| Screening People at Increased Risk for Colorectal Carcinoma | |
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| New Screening Tests | |
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| When to Stop Screening | |
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| Surveillance | |
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| Follow-Up after Curative Resection | |
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| Other Primary Malignancies | |
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| Summary | |
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| References | |
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| Malignant Neoplasms of the Colon | |
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| Classification | |
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| Adenocarcinoma | |
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| Incidence, Prevalence, and Trends | |
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| Epidemiology | |
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| Age | |
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| Sex | |
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| Family History | |
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| Site | |
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| Geographic Distribution | |
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| Race and Religion | |
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| Occupation | |
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| Etiology and Pathogenesis | |
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| Polyp-Cancer Sequence | |
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| Inflammatory Bowel Disease | |
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| Genetics | |
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| Dietary Factors | |
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| Irradiation | |
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| Ureteric Implantation | |
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| Cholecystectomy | |
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| Diverticular Disease | |
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| Activity and Exercise | |
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| Other Factors | |
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| Juvenile vs. Adult Carcinoma | |
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| Prospects for Prevention | |
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| Pathology | |
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| Macroscopic Appearance | |
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| Microscopic Appearance | |
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| Depressed Carcinoma | |
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| Sentinel Lymph Node Mapping | |
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| Modes of Spread | |
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| Site of Spread | |
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| Staging | |
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| Biology of Growth | |
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| Clinical Features | |
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| Symptoms | |
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| General and Abdominal Examinations | |
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| Digital Rectal Examination | |
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| Extraintestinal Manifestations | |
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| Synchronous Carcinomas | |
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| Associated Polyps | |
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| Other Associated Malignancies | |
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| Complications | |
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| Obstruction | |
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| Perforation | |
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| Bleeding | |
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| Unusual Infections Associated with Colorectal Carcinoma | |
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| Diagnosis | |
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| Investigations | |
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| Occult Blood Testing | |
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| Endoscopy | |
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| Radiology | |
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| Radioimmunodetection | |
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| Cytology | |
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| Blood Markers | |
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| Treatment | |
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| Curative Resection | |
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| Adjuvant Therapy | |
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| Complicated Carcinomas | |
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| Perforation | |
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| Bleeding | |
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| Obstructive Colitis | |
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| Invasion of Adjacent Viscera | |
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| Urinary Tract Involvement by Colorectal Carcinoma | |
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| Primary Involvement of the Urinary Tract | |
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| Bladder Involvement | |
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| Ureteric Involvement | |
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| Fistula | |
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| Hydronephrosis | |
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| Radiotherapy | |
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| Unexpected Intraoperative Involvement | |
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| Recurrent Colorectal Carcinoma | |
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| Abnormal Renal Function | |
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| Palliation | |
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| Unresectable Carcinoma | |
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| Palliative Resection | |
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| Synchronous Carcinomas | |
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| Synchronous Polyps and Carcinoma | |
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| Metachronous Carcinoma | |
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| Treatment of Metastatic Disease | |
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| Carcinoma in Young Patients | |
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| Postoperative Complications | |
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| Results | |
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| Prognostic Discriminants | |
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| Clinical Features | |
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| Pathologic Features | |
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| Biochemical and Special Investigations | |
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| Recurrent Disease | |
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| Follow-Up | |
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| Incidence | |
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| Contributing Factors | |
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| Patterns | |
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| Clinical Features | |
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| Investigations | |
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| Rote of Carcinoembryonic Antigen | |
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| Treatment | |
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| Results of Reoperation | |
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| Intestinal Obstruction Due to Recurrent Carcinoma | |
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| Colorectal Carcinoma Complicating Pregnancy | |
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| Ovarian Carcinoma Involving the Colon | |
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| Malakoplakia and Colorectal Carcinoma | |
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| Other Malignant Lesions | |
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| Carcinoid | |
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| Incidence | |
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| Clinical Features | |
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| Pathology | |
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| Imaging Procedures | |
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| Chemical Activity | |
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| Treatment | |
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| Results | |
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| Lymphoma | |
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| Incidence | |
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| Pathology | |
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| Clinical Features | |
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| Treatment | |
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| Results | |
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| Sarcoma | |
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| Squamous Cell Carcinoma | |
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| Adenosquamous Carcinoma | |
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| Plasmacytoma | |
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| Melanoma | |
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| Leukemic Infiltration | |
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| Neuroendocrine Lesions of the Colorectum | |
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| Medullary Carcinoma of the Colon | |
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| Carcinosarcoma | |
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| Schwannoma | |
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| Angiosarcoma | |
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| Choriocarcinoma | |
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| Metastases from Other Sources | |
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| References | |
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| Malignant Neoplasms of the Rectum | |
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| Adenocarcinoma | |
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| Mechanisms of Spread of Rectal Carcinoma | |
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| Direct Extension | |
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| Transperitoneal Spread | |
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| Implantation | |
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| Lymphatic Spread | |
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| Venous Spread | |
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| Clinical Features | |
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| Symptoms | |
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| General and Abdominal Examination | |
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| Investigations | |
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| Endoscopy | |
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| Routine Laboratory Blood Work | |
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| Radiology | |
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| Preoperative Preparation | |
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| Radical Extirpative Operations | |
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| Assessment of Resectability | |
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| Selection of Appropriate Operation | |
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| Operative Procedures | |
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| Postoperative Care | |
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| Results | |
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| Local Forms of Therapy | |
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| Rationale | |
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| Procedures | |
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| Special Considerations | |
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| Distal Margins | |
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| Circumferential Margins | |
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| Total Mesorectal Excision | |
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| Radical Lymphadenectomy | |
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| Concomitant Pelvic Organ Excision | |
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| Palliative Therapy for Advanced Rectal Carcinoma | |
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| Hartmann's Procedure | |
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| Unresectable Carcinoma of the Rectum | |
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| High Ligation of Inferior Mesenteric Artery | |
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| Marking the Rectum | |
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| Adjuvant Therapy for Carcinoma of the Rectum | |
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| Radiotherapy | |
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| Chemotherapy | |
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| Combination Chemoradiotherapy | |
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| Immunotherapy | |
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| Summary | |
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| Postoperative Complications | |
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| Recurrent Disease | |
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| Follow-up | |
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| Incidence | |
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| Factors Contributing to Recurrence | |
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| Patterns of Recurrence | |
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| Clinical Features | |
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| Investigations | |
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| Treatment of Recurrent Disease | |
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| Results of Reoperation | |
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| Other Malignant Lesions of the Rectum | |
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| Carcinoid | |
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| Clinical Presentation | |
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| Investigation | |
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| Pathology | |
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| Treatment | |
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| Results | |
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| Lymphoma | |
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| Clinical Presentation | |
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| Treatment and Results | |
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| Sarcoma | |
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| Gastrointestinal Stromal Tumor (GIST) | |
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| Secondary Carcinoma | |
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| Miscellaneous Neoplasms | |
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| References | |
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| Anorectal Disorders | |
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| Perianal and Anal Canal Neoplasms | |
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| Introduction | |
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| Anatomic Landmarks | |
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| Incidence | |
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| Etiology and Pathogenesis | |
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| Staging | |
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| Screening for Anal Carcinoma Precursors | |
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| Human Papilloma Virus Type 16 Vaccine | |
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| Perianal Neoplasms (Anal Margin) | |
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| Neoplasms of the Anal Canal | |
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| References | |
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| Transanal Techniques | |
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| Introduction | |
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| Rectal Biopsy | |
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| Electrocoagulation of Rectal Polyps | |
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| Snare Polypectomy | |
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| Transanal Excision of Rectal Adenoma | |
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| Transanal Excision for Carcinoma of the Low Rectum | |
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| Posterior Approach to the Rectum | |
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| Transanal Endoscopic Microsurgery | |
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| Electrocoagulation of Carcinoma of the Rectum | |
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| References | |
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| Minimally Invasive Surgery | |
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| Laparoscopic Colon and Rectal Surgery | |
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| Background and Rationale | |
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| Indications | |
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| Equipment and Instrumentation | |
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| Operative Procedure | |
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| Specific Colorectal Procedures | |
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| Robotics | |
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| Postoperative Care | |
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| Results | |
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| Laparoscopic Complications and Their Prevention | |
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| References | |
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| Index | |