结肠粘液腺癌的临床及病理学特征  

Clinicopathologic Characteristics of Colonic Mucoid Adenocarcinoma

作　　者：王锡山[1] 刘淑珍 杨为戈 董新舒 赵家宏 张强 

机构地区：[1]黑龙江省医院

出　　处：《哈尔滨医科大学学报》1997年第5期384-386,共3页Journal of Harbin Medical University

摘　　要：对我院１９７６年～１９９４年底收治的８７例结肠粘液腺癌的临床及病理学特征进行了总结分析，得出下列结论：①结肠粘液腺癌发病男性多于女性，老年（＞６０岁）较青年（≤３０岁）多见。②病灶多位于升结肠和乙状结肠。③淋巴转移与血行转移和非粘液腺癌无差异。④易发生腹膜播种。⑤病例病期晚，Ｄｕｋｅ’ｓＤ期占３１．０３％。⑥治愈性切除率约为６０％，５年生存率为２１．６７％，预后不良。根据上述临床病理学特征，欲提高其生存率，应在提高早期诊断。The clinicopathological characteristics of colonic mucoid adenocarcinoma in 87 cases were analyzed from 1976 to 1994 in our hospital.The results showed:1.The disease appeared in men more often than women,in the aged(>60)more often than the youth(≤30).2.The location was mainly in ascending colon or signoid.3.There was no significant difference in the metastasis of lymph and blood to the non mucoid adenocarcinoma.4.Peritoneum implantation occurred easily.5.31.03% of the stage were Duke’s D.6.Radical resected rate was 60%.5 years survival rate was 21.67%.According to these clinicopathologic characteristics,extended resected operation based on the early diagnosis and early treatment should be performed in order to increase the survival rates.

关 键 词：结肠肿瘤 粘液腺肿瘤 病理学 

分 类 号：R735.350.2[医药卫生—肿瘤]