30例多原发癌回顾性分析  

Retrospective Analysis of Multiple Primary Cancers:A Report of 30 Cases

作　　者：陈颖[1] 赵明芳[1] 曲秀娟[1] 于萍[1] 金波[1] 张敬东[1] 滕月娥[1] 刘云鹏[1] 

机构地区：[1]中国医科大学附属第一医院肿瘤内科,沈阳110001

出　　处：《中国医科大学学报》2012年第4期340-342,共3页Journal of China Medical University

基　　金：国家自然科学基金资助项目(81172369)

摘　　要：目的探讨多原发癌(MPC)的发病特点、诊断、治疗和预后,以提高诊疗水平。方法对我科2006年8月至2011年8月间收治的30例MPC病历资料进行回顾性分析。结果我科收治的10 015例恶性肿瘤患者中,确诊为MPC者30例,占0.3%,其中双重癌0.26%,三重癌0.03%,四重癌0.01%。30例MPC中首发癌及二、三、四重癌都以消化系统恶性肿瘤最常见。共有原发病灶64例次,早期诊断病灶37例次,占总病灶数的57.8%。5年生存率76.6%,其中4例生存期达10年以上。结论临床医师应提高对MPC的重视,减少误诊及漏诊,做到早期确诊,积极治疗,提高治愈率,延长患者生存期。Objective To explore the clinical characteristics,diagnosis,treatment and prognosis of multiple primary cancers（MPC） in order to promote its diagnosis and therapy.Methods Thirty MPC cases in our department from August 2006 to August 2011 were studied retrospectively.Results The incidence of MPC was 0.3%（30/10 015）,in which the incidence of the duplex primary cancers was 0.26%,triple primary cancers was 0.03% and quadruple primary cancers was 0.01%,respectively.Primary cancer and repetitive cancer occurred most frequently in digestive system.There were 64 primary focuses in all,and the early diagnostic rate was 57.8%.The survival rate of five years was 76.6%.The survival time of 4 cases were over ten years.Conclusion The mechanism of MPC should be studied further in order to reduce the misdiagnosis.Early diagnosis and active treatment can prolong the survival span and improve prognosis of MPC patients.

关 键 词：多原发癌 诊断 治疗 预后 

分 类 号：R73[医药卫生—肿瘤]