摘要
目的 探讨多原发性大肠癌的临床特点和诊断、治疗。方法 回顾性分析 65例多原发性大肠癌的临床资料。结果全组共 65例 ,占同期收治大肠癌病例的 1.3 % ( 65 /5 0 70 ) ,其中同时性多原发癌 3 5例 ,异时性多原发癌 3 0例 ,65例均行手术治疗 ,3 5例同时性多原发癌行根治性切除 2 9例 ,患者 5年生存率为 3 4.6% ( 9/2 6) ;3 0例异时性多原发癌首次治疗时 2 8例行根治术 ,2例行局部切除术 ,患者第一癌术后 5年生存率为 92 .0 % ( 2 3 /2 5 )。结论 多原发性大肠癌以手术治疗为主 ,早期诊断和治疗是提高多原发性大肠癌患者
Objective To investigate the clinical characteristics,diagnosis and treatment of multiple primary colorectal carcinoma.Methods The data of 65 patients with multiple primary colorectal carcinoma from 1981 to 2002 were analyzed retrospectively.Results The patients with primary colorectal carcinoma was 1.3%(65/5 070) of all patient with colorectal carcinoma treated in our hospital during the same period.There were 35 cases of synchronous carcinoma and 30 cases of metachronous carcinoma.65 cases all received operation.29 of 35 cases with synchronous carcinoma underwent radical operation,and the 5-year survival rate was 34.6%(9/26).Among the 30 patients with metachronous carcinoma,2 patients underwent local excision and 28 patients underwent radical operation for the index tumors,and the 5-year survival rate was 92.0%(23/25).Conclusion The optimal therapy for multiple primary colorectal carcinoma is surgical treatment.Early diagnosis and treatment are the keys to improve the 5-year survival rate of multiple primary colorectal carcinoma.
出处
《实用癌症杂志》
2004年第2期172-174,共3页
The Practical Journal of Cancer
