Colorectal Cancer Textbook for General Practitioners
The "Europe against Cancer" programme has, from its inception, emphasised the key role which general practitioners must play in the actions necessary to achieve its aim of reducing the incidence and the mortality from cancer in the European Community. Gen
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European Commission Series for General Practitioners
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Prepared for the Commission of the European Communities by the
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J. D. Hardcastle (Ed.)
Colorectal Cancer Textbook for General Practitioners
Contributors M. Crespi M. F. Dixon O. Kronborg J. Wahrendorf N. S. Williams
With 15 Figures and 2 Tables
Springer-Verlag Berlin Heidelberg New York London Paris Tokyo Hong Kong Barcelona Budapest
Professor Dr. Jack Donald Hardcastle Department of Surgery Floor E West Block University Hospital Queen's Medical Centre Nottingham NG7 2UH, UK
Warning: Neither the Commission of the European Communities nor any person acting on its behalf can accept responsibility for any use made of the information contained herein.
ISBN-I3 :978-3-540-56702-8 DOl: 10.1 007/978-3-642-78225-1
e-ISBN-13:978-3-642-78225-I
Library of Congress Cataloging-in-Publication Data Colorectal cancer: textbook for general practitioners / J. D. Hardcastle (ed.) "Europe against cancer" Includes bibliographical references.
1. Colon (Anatomy)--Cancer. 2. Rectum--Cancer. 1. Hardcastle, J. D. (Jack Donald) [DNLM: 1. Colorectal Neoplasms. WI 520 C71955 1993] RC280.C6C673 1993 616.99'4347--dc20 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag. Violations are liable for prosecution under the German Copyright Law. © Springer-Verlag Berlin Heidelberg 1993
The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Typesetting: Data conversion by Springer-Verlag 19/3145-543210 - Printed on acid-free paper
Foreword
The "Europe against Cancer" programme has, from its inception, emphasised the key role which general practitioners must play in the actions necessary to achieve its aim of reducing the incidence and the mortality from cancer in the European Community. General practitioners, because of their day-to-day direct and continuing contact with patients, playa role not only in primary prevention and education of patients, but also in motivating their patients to accept secondary prevention and screening, some of it carried out by general practitioners themselves. These preventive activities ar
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