异时性重复癌患者的临床特点分析  

Clinical characteristics of metachronous repeat cancer

作　　者：王中瑜 王志新 

机构地区：[1]第三军医大学第二附属医院肿瘤科,重庆400037

出　　处：《中国肿瘤临床与康复》2013年第5期449-451,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨异时性重复癌的发病原因、临床特点、治疗方法及间隔时间。方法选取2009年1月至2012年1月收治的18例重复癌患者为研究对象,对患者的临床资料、病理诊断以及原发癌间隔时间及预后情况进行分析。结果 18例患者中,同时重复癌2例(11.1%),异时性重复癌16例(88.9%)。第一原发癌与第二原发癌间隔时间为0～28年,平均间隔时间为(7.8±2.5)年。其中男性患者平均间隔时间为(7.2±1.8)年,女性患者平均间隔时间为(9.8±2.2)年,两者间隔时间差异有统计学意义(P<0.05)。首发癌症接受手术的患者发生重复癌较未接受过手术的患者间隔时间长,差异有统计学意义(P<0.05)。结论通过对重复癌患者的临床资料进行分析,可进一步了解重复癌的临床特点,为临床诊治提供参考意见;对原发癌患者采取手术治疗可有效延长重复癌发生的间隔时间。Objective To explore the repeat cancer etiology,clinical features,treatment and interval time.Methods From January 2009 to January 2012,18 cases admitted to our hospital of metachronous cancer were collected and to analyse the clinical data,pathological diagnosis and the interval of the primary cancer and the prognosis of the situation.Results 18 patients at the same time repeat carcinoma in 2 cases（11.1%）,metachronous repeated cancer in 16 cases（88.9%）;first primary cancer and second primary cancer interval from 0 to 28 years,the average interval was（7.8 ± 2.5） years;average interval of male patients was（7.2 ± 1.8） years,the average interval of female patients was（9.8 ± 2.2） years,the interval between the two have differences（P 0.05）.Starting cancer patients undergoing surgery repeat cancer than did not accept surgery patients with a long interval,and the difference was statistically significant（P 0.05）.Conclusions The analysis of clinical data on repeated cancer,learn more about the characteristics of the repeat cancer clinical,provide a reference for clinical diagnosis and treatment;take the primary cancer surgery can effectively extend the repeat interval cancer.

关 键 词：异时性重复癌 特点 手术 

分 类 号：R730[医药卫生—肿瘤]