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Correspondence
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Volume 351:1033-1034 September 2, 2004 Number 10
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Case 18-2004: A 61-Year-Old Man with Rectal Bleeding

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 by Shellito, P. C.
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To the Editor: Case 18-2004, discussed by Shellito et al. (June 10 issue),1 concerns the management of rectal cancer and contains the recommendation that adequate pathological examination of resection specimens requires retrieval of no fewer than 15 mesorectal lymph nodes. In my experience, specimens from this region in patients who were not given preoperative treatment are rarely likely to contain such a high number of lymph nodes, and specimens from those given the treatment are even less so. The number of lymph nodes varies throughout the length of the colorectum — and even from patient to patient — with the . . . [Full Text of this Article]




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