老年大肠癌临床病理特点分析  

Analysis of the characteristics of the colorectal carcinoma in the elderly.

作　　者：朱海清[1] 王黎[1] 赵剑锋[2] 

机构地区：[1]江苏省中医院病理科 [2]江苏省老年医院

出　　处：《实用老年医学》1998年第6期256-257,共2页Practical Geriatrics

摘　　要：目的探索老年大肠癌的临床病理特点。方法对１１７例老年人大肠癌的病理资料进行回顾性分析，并与对照组进行比较。结果老年组大肠癌占老年大肠肿瘤的５５．４５％，高于对照组（Ｐ＜０．０５），其中绒毛状腺癌明显高于对照组（Ｐ＜０．０１），而粘液腺癌和粘液细胞癌则明显低于对照组（Ｐ均＜０．０５）。老年大肠癌的浸润深度明显浅于对照组（Ｐ＜０．０５），而其转移率则与对照组无明显差别。老年大肠癌的好发部位与其他年龄有所不同，依次为直肠、乙状结肠、回盲部、降结肠、肝曲、升结肠、横结肠和脾曲。结论老年大肠癌发病率高于其他年龄，老年大肠癌的组织类型与其他年龄有所不同，且老年大肠癌的局部侵袭力低于其他年龄。Objective To investigate the characteristics of the colorectal carcinoma in the elderly. Methods 117 cases of colorectal carcinoma in the elderly were observed.The data were analyzed by the χ 2 test. Results Colorectal carcinoma accounted for 55 45% of all colorectal neoplasms in the elderly,which was higher than that in the control group ( P <0 05).Papillary carcinoma was significantly higher in the elderly than in other age groups ( P <0 01).The invasion of colorectal carcinoma in the elderly was more superficial than in other groups( P <0 05),but the rate of metastasis was similar in the two groups( P >0 05).The frequent locations of occurrence of colorecatal carcinoma were different between the two groups ( P <0 05).The locations colorectal carcinoma often occurred in the elderly in the order of frequency were rectum,colon sigmoideum,cecum,colon descendens,flexura coli dextra,colon ascendens,colon transversum and flexura coli sinistra. Conclusions The occurrence of colorectal carcinoma in the elderly was higher than in other age growps.The tissue types were different in different ages and the invasive ability of colorectal carcinoma was lower in elderly than in other ages.The locations colorectal carcinoma often occured were different in different ages.

关 键 词：大肠癌 腺瘤 病理 老年人 

分 类 号：R735.340.2[医药卫生—肿瘤]