大肠粘液腺癌临床和病理学特征探讨  

Characteristics of clinic and pathology on large intestinal mucoid adenocarcinoma

作　　者：王锡山[1] 刘凤玉[2] 董新舒[1] 杨为戈[1] 赵家宏[1] 毛林[3] 

机构地区：[1]哈尔滨医科大学附属第三医院腹外科,黑龙江哈尔滨150040 [2]哈尔滨医科大学科研处,黑龙江哈尔滨150086 [3]海伦市第一人民医院,黑龙江海伦152300

出　　处：《哈尔滨医科大学学报》1999年第4期304-306,共3页Journal of Harbin Medical University

摘　　要：本文通过对我院收治的288例大肠粘液腺癌的临床及病理学特征进行了总结分析，得出如下结论：①大肠粘液腺癌以直肠和升结肠部位多见；①大肠粘液腺癌病例中男性多于女性，直肠粘液腺癌青年组（≤30岁）校老年组(≥60岁）多见，而结肠粘液癌与之相反；③以浸润型生长方式为主；④淋巴转移率高（56．6％），易发生腹膜播种；⑤血行转移率低（3．82％），结肠血行转移率（10％）明显高于直肠组（1％）；术后5年生存率低（20．35％）。因此粘液腺癌是大肠癌预后不良的一种病理类型。The characteristics of clinic and pathology in 228 cases with large intestinal mucoid adenoocarcinoma were analyzed. The results showed that large intestinal mucoid adenocarnoma more was finded in the rectum and ascending colon and the male was more than the female, in cases of rectal mucoid adenocarcinoma Lhe youth(< 30years) was more than the old(> 60yars), on the contrary, the old was more than the youth for the mucoid adenocarcinoma of colon; the mode of growth maialy was invasion; the rate of lymphatic metastasis was high and the rate of hematogenous metastasis was few, but the rate of blood metastasis was higher in the group of colon cancer than in the group of rectal cancer, the 5-years suwival rate war poor. Therefore, mucoid adenocarcinoma was the pathological type of larse intestinal cancer that would have a bad prognosis. Extendedly resected operation and early diagnosis should be emphasized.

关 键 词：直肠 结肠 粘液腺癌 病理学特征 

分 类 号：R735.340.2[医药卫生—肿瘤]