THE following classification of cancer of the rectuni is of interest in relation to the general pathology of malignant disease and has proved of value in the prognosis of rectal cancer. It can be applied to all intestinal carcinomas, but this paper, based on an analysis of 215 cases, refers only to operable cancers treated by excision of the rectum.The principle of the method is the classification of cancers into three categories according to the extent of spread. A eases are those in which the carcinoma is limited to the wall of the rectum, there being no extension into the extrarectal tiseues and no metastases in lymph nodes, B cases those in which the carcinoma has spread by direct continuity to the extrarectal tissues but has not; yet invaded the regional nodes, and C cases those in which metastases are present in the regional lymph nodes.ilfethocl of determining extent of sproud.
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