妊娠期直肠癌  

Carcinoma of the Rectum Associated with Pregnancy

作　　者：梁小波[1] 范桢[1] 李艳华[1] 关生命 

机构地区：[1]山西省肿瘤医院,太原市030013 [2]太原市第二人民医院,太原市030013

出　　处：《中国肿瘤临床》1994年第4期290-291,共2页Chinese Journal of Clinical Oncology

摘　　要：本文报道13例妊娠期直肠癌,患者多见于青壮年,易被误诊.病理特点以粘液腺癌、印戒细胞和低分化腺癌等高恶性度癌所占比例较大,病情发展快,易发生扩散.一经确诊,应立即终止妊娠,及早手术,其方法同非妊娠病例.卵巢转移常是手术治疗失败的原因,术中应考虑卵巢活检冰冻切片或预防性切除.Thirteen cases of rectum cancer complicated with pregnancy are reported. Most of the patients were in their reproductive age period as a result the cancer were often misdiagnosed. Myxoadenocarcinoma, ring-cell carcinoma and poorly differentiated carcinoma accounted for a high proportion. Considering the rapid progress and wide spread of this disease the pregnancy should be terminated immediately and resection of the diseased rectum should be practised earlier once the diagnosis is made. The procedure is the same as in the non-pregnancy case. In view that one of the causes of treatment failure was ovarian metastasis, ovary biopsy, frozen section or preventive ovariectomy should be considered at the time of surgery.

关 键 词：妊娠 癌 直肠肿瘤 诊断 

分 类 号：R714.250.4[医药卫生—妇产科学]