摘要
１９７０～１９９０年作者复诊病例中诊为头颈部重复癌１６例，其中双重癌占８７．５％（１４／１６），三重癌占１２．５％（２／１６）；同时性重复癌２例、异时性１４例。先证癌以喉癌最多，占４３．８％（７／１６），第二原发癌中肺癌和喉癌各占２５．０％（４／１６），２例第三原发癌分别为肝细胞癌和乳腺癌。先证癌与第二原发癌间期０～１５年，平均４．６年；１例三重癌患者第三次手术后１２年仍存活。复习和讨论了重复癌的病因、发病率、发病间期、诊断、治疗及预后。
During the years 1970-1990, sixteen cases with multiple primary carcinoma (MPC)in head and neck were recorded and summarized.Of them, double primary malignancies developed in 14 patients (87.5%),and triple in 2 (12.5%) . Two cases were with synchronous MPC and 14 cases with metachromous.Index cancers occurred in larynx most frequently (7/16) , while additional tumours in lung (4/16) . The second primary cancers appeared at a time interval of 0～15 years from diagnosis of the index with an average of 4.6 years. Though majority had a poor prognosis,one of the patients with triple cancers has been alive for 12 years after resecting the third carcinoma.
出处
《山东医科大学学报》
1994年第3期243-246,共4页
Acta Academiae Medicinae Shandong
关键词
头颈部肿瘤
肿瘤
多发性
原发性
Head and neck neoplasms
Neoplasms, multiple primary
