摘要
目的 总结多原发性大肠癌的临床特点。方法 对我院 10年来收治的 2 1例多原发性大肠癌病例进行回顾性分析。结果 同时癌和异时癌的发病率分别为 1.1%和 1.2 %。同时癌中钡灌肠和纤维结肠镜的漏诊率分别为80 .0 %和 40 .0 % ,术中探查准确率为 77.8%。肿瘤在发生部位和病理分期方面与单发大肠癌无明显差别 ,47.6%的病例合并绒毛腺管状腺瘤 ,合并直肠肿瘤患者的预后较差。结论 术前全程肠镜检查、术中全大肠探查及术后定期纤维结肠镜随诊是提高多原发性大肠癌诊断和预后的关键。
Objective To analyze the clinical features of multiple primary colorectal carcinoma(MPCC). Methods Data in 21 patients with MPCC duri ng the past 10 years in our hospital were analyzed retrospectively. Results The incidence of synchronous and metach ronous carcinoma was 1.1% and 1.2% respectively. The sites and pathologic stages of tumors showed no significant difference comp ared with single colorectal carcinoma. 47.6% of the cases accomp anied with colorectal adenoma. 77.8% of the MPCC could be found during operation. Patients with carcinoma involved rectum had relatively poor su rvival. Conclusion The full-course colonoscopy, caref ul intraoperative exploration and regular postoperative colonoscopic follow-up are essential in improving the diagnosis and prognosis of patients with MPCC.
出处
《中国普外基础与临床杂志》
CAS
2001年第6期390-391,394,共3页
Chinese Journal of Bases and Clinics In General Surgery
关键词
多原发性大肠癌
诊断
外科治疗
临床特点
Colorectal carcinoma Multiple primary Diagnosis Surgical treatment
