摘要
目的:探讨大肠鳞状细胞癌的临床表现、病理形态特征、治疗及预后。方法:对1例直肠鳞状细胞癌病例进行组织形态学、免疫组织化学分析结合原位杂交HPV16/18检查,并复习相关文献。结果:大肠鳞状细胞癌常见于40-50岁年龄组患者,男性略多,多见于乙状结肠和直肠,形态学表现为不同分化程度的鳞状细胞癌,表达鳞状细胞癌标记如p63,CK5/6;个别病例可见HPV16感染。结论:大肠鳞状细胞癌是一种罕见病变,临床表现与常见的腺癌相似,外科手术为最有效的治疗,预后较腺癌差;有时内窥镜镜下易与间质瘤误诊。
Objective : To investigate the clinic - pathological features, diagnosis and prognosis of intestinum erassum suqamous cell carcinoma(see). Methods:A case of intestinum crassum suqamous cell carcinoma was reported, based on histological and immunohistochemical studies and the literature was reviewed. Results:Primary intestinum crassum suqamous cell carcinoma occur most commonly in the fifth decade of life with a slight predominance for men. The tumors histologic appearances was well or poorly differentiation,tumor cell showed positive for p63 and CK5/6; HPV16 was detected in a few of cases. Condusion:lntestinum crassum see is a rare tumor with an aggressive course; clinical features are similar with adenocarcinoma, the prognosis is worse; surgery is the most effective therapy, and adjuvant chemotherapy and radiotherapy shoould be considered; sometimes.
出处
《现代肿瘤医学》
CAS
2011年第1期94-96,共3页
Journal of Modern Oncology
关键词
大肠
直肠
乙状结肠
鳞状细胞癌
intestinum crassum
rectum colon
sigmoid colon
see