Essentials of Diagnosis:-

• Blood in the faeces, anaemia, asthenia.
• Palpable colonic mass (especially in ascending
• Altered bowel function, i.e. progressively increasing
constipation (left colon) or diarrhoea.
• Sigmoidoscopic and X-ray evidence of the


-Surgical resection of the lesion and its regional lymphatics after adequate bowel preparation in early cases.
-In late cases with invasion or obstruction palliative resection.
-Preoperative irradiation 2000 to 2500 R, in 10 sittings over 12 days increases resectability and improves survival.

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