中老年人多原发癌32例分析  

Analysis of 32 cases multiple primary carcinomas in the aged

作　　者：齐玉琴[1] 张兴虎[1] 万文辉[1] 陈雪松[1] 罗杰[1] 李以宏[1] 

机构地区：[1]南京军区南京总医院老年科,江苏南京210002

出　　处：《东南国防医药》2012年第5期402-403,共2页Military Medical Journal of Southeast China

基　　金：南京军区医学科技创新课题(08MA089)

摘　　要：目的探讨中老年人多原发癌(multiple primary carcinoma,MPC)的发病特点,以提高临床诊治水平。方法回顾分析32例中老年人MPC的临床资料。结果 MPC占住院恶性肿瘤患者的2.7%。双原发癌26例,三原发癌5例,四原发癌1例。双原发癌中肺的双原发癌4例,肺与其他器官合并的MPC 8例,肺癌占首位。首癌至末癌间隔最长24年,平均5年6个月。对第一癌治疗,手术13例,手术加化疗8例,手术加放疗5例,放疗4例,2例放弃治疗。结论当癌症患者出现新的癌灶时,不应草率认为是癌症晚期的复发或转移,而应考虑MPC的可能,并在明确诊断基础上施以合理的综合治疗,可以收到良好的效果。Objective The clinical characteristics of multiple primary carcinomas （MPC） in the aged were analyzed to improve the ability of the clinical diagnosis and treatment. Methods The clinical data of 32 MPC cases in the aged were retrospectively analyzed. Results The incidence rate of the MPC was 2.7% in the aged, among which double primary carcinoma, three primary carcinomas and four primary carcinomas were in 26 cases,5 cases and 1 cases, respectively. 4 cases of double primary carcinoma occurred in the lungs, and 8 MPC cases occurred lung and other organs. The incidence of lung carcinoma was the highest in all MPC. The longest span was 24 years between the first carcinoma and the last one. The average span was 5 years and 6 months. In all first carcinomas, the case numbers of that were undergone operation, operation and chemotherapy, operation and radiotherapy,radiotherapy were 13,8,5 and 4, respectively. There were 2 cases given up therapy. Conclu- sion When a new tumor lesion was found in cancer patient,you do not consider hastily as advanced cancer recurrence and cancer metastasis, the possibility of existence of PMC should be taken into account. Reasonable treatment should be taken after a clear diagnosis, and would have a better therapeutic effect.

关 键 词：多原发癌 诊断 治疗 

分 类 号：R730.26[医药卫生—肿瘤]