摘要
为提高早期大肠癌的诊治水平，作者回顾总结了６３例早期大肠癌的临床资料。男５４例，女９例。中位年龄５６岁。无症状２５例，大便带血或便血２７例，腹痛腹泻１１例。病变位于直、乙状结肠４６例，降结肠以上１７例。病变≤２．０ｃｍ×２．０ｃｍ５２例，＞２．０ｃｍ×２．０ｃｍ者１１例。粘膜内癌４７例，粘膜下癌１６例。手术治疗２４例，高频电切３９例，电切后追加手术６例。随访到５２例，其中４例复发死亡，预后和病变浸润深度有关，４７例粘膜内癌无一例复发。作者对大肠癌均起源于腺瘤的传统学说提出异议，该组有２例不含腺瘤组织，另有２例系炎性息肉癌变，值得进一步探讨。
The clinical data of 63 cases with early colorectal cancer were analysed retrospectively.Of which 54 were males,9 females with a median age of 56 years.11 complained of abdominal pain or diarrhea,27 blood in stool.Most cancers (46) located in sigmoid colon or below,the rest above it with a size<20cm(52),or>20cm(11).39 were cauterized,34 surgically resected and 6 cured with both treatments.Microscopically the malignant cells were seen within (47)and beneath(16)mucosa;41 being tubular,8 papillary and 14 mixed adenocarcinomas.4/52 being followed up died of recurrence.No recurrence was detected with mucosal cancer.The prognosis seemed closely related with invasive depth.Two cancers in this series did not contain adenomatous sturctures and two derived from inflammatory polyps.The traditional view of colorectal cancer originating from adenoma needs further study.
出处
《中华消化内镜杂志》
1998年第2期94-96,I000,共4页
Chinese Journal of Digestive Endoscopy
关键词
早期诊断
大肠肿瘤
内窥镜
治疗
Colorectal carcinoma Early diagnosis Theraputic colonoscopy
