Skip to main content
Log in

Changes in site distribution of colorectal carcinoma in Connecticut, 1940–1973

  • Original Articles
  • Published:
The American Journal of Digestive Diseases Aims and scope Submit manuscript

Abstract

The proportion of colorectal cancer occurring above the rectosigmoid junction has been increasing over time. The 40,771 cases of colorectal carcinoma reported to the Connecticut Tumor Registry from 1940 through 1973 were analyzed to determine the incidence in the ascending colon, the transverse, descending, and sigmoid colon, and the rectum. The numbers of cases, the proportion, and incidence rates of cancer in the ascending colon and sigmoid have increased over the 34 years. The increases were greatest among people over 65 years old. Only about half of colorectal cancer can now be identified with the rigid sigmoidoscope. Other tests must be used for early diagnosis of the increased numbers of cancers in the upper parts of the colon.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ottenheimer EJ, Oughterson AW: Observations on cancer of the colon and rectum in Connecticut. N Engl J Med 252: 561–567, 1955

    PubMed  Google Scholar 

  2. Rubin P: Cancer of the GI tract: Colon, rectum, anus. Introduction JAMA 251:513, 1975

    Google Scholar 

  3. Spiro HM: Tumors. Clinical Gastroenterology. New York. Macmillan, 1970, pp 691–695

    Google Scholar 

  4. Berg JW, Howell MA: The geographic pathology of bowel cancer. Cancer 34 (suppl):807–814, 1974

    PubMed  Google Scholar 

  5. Cady B, Persson AV, Monson DO, Maunz DL: Changing patterns of colorectal carcinoma. Cancer 33:422–426, 1974

    PubMed  Google Scholar 

  6. Correa P, Haenszel W: Comparative international incidence and mortality. Cancer Epidemiology and Prevention. D. Schottenfeld (ed.), Springfield, Illinois, Charles C Thomas, 1974, pp 386–403

    Google Scholar 

  7. World Health Organization: Manual of the International Statistical Classification of Diseases, Injuries and Causes of Death, Seventh Revision. Geneva, WHO, 1957

    Google Scholar 

  8. Connecticut State Department of Health, Public Health Statistics Section: (Annual) Registration Report (1951, 1958, 1971–1973). Hartford, Connecticut State Department of Health

    Google Scholar 

  9. Christine B, Flannery JT, Sullivan P: Cancer in Connecticut, 1966–1968. Hartford, Connecticut State Department of Health, 1971, pp 1, 2

    Google Scholar 

  10. Burkitt DP: Large-bowel cancer: An epidemiologic jigsaw puzzle. J Natl Cancer Inst 54: 3–6, 1954

    Google Scholar 

  11. Wynder EL, Reddy BS: The epidemiology of cancer of the large bowel. Am J Dig Dis 19:937–945, 1974

    PubMed  Google Scholar 

  12. Rose G, Blackburn H, Keys A, Taylor HL, Kannel WB, Paul O, Reid DD, Stamler J: Colon cancer and blood cholesterol. Lancet 1:181–183, 1974

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Supported by Public Health Service Contracts NO1-CP-33235 and NO1-CP-43203 from the National Cancer Institute.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Snyder, D.N., Heston, J.F., Meigs, J.W. et al. Changes in site distribution of colorectal carcinoma in Connecticut, 1940–1973. Digest Dis Sci 22, 791–797 (1977). https://doi.org/10.1007/BF01694509

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01694509

Keywords

Navigation