[The therapy of the rectum-carcinoma of the aged (author's transl)]

Elder people are most treated on cancer of the rectum. Therapeutic chances could be used better. Unfortunately there is a delay between first symptoms and beginning of therapy, in 50% of the debit of the doctors. Simple examinations like digital inquiry could be done by each physician. In 40% of carcinoma of rectum there are regional lymphonodoli; they make the chance of healing sinking. Radical surgery is the best therapy, but often not possible. Above 10-12 cm a resection with end-to-end anastomosis should be done. Single distant metastases are no reason to prevent operation. Palliative transabdominal extirpation of the tumor should be attempted in most of the cases. Anus praeter should be least form of palliative therapy in surgery of rectum-cancer. Local recidives are particular property of colorectal Carcinoma, they make difficulties in many cases.