胃双原发恶性肿瘤12例诊治分析  被引量:5

Double Primary Malignant Gastric Neoplasms:Clinical Analysis of 12 Cases

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作  者:刘骞[1] 邵永孚[1] 王成峰[1] 

机构地区:[1]中国医学科学院中国协和医科大学肿瘤医院腹部外科,100021

出  处:《实用癌症杂志》2001年第3期311-312,共2页The Practical Journal of Cancer

摘  要:目的 探讨胃双原发恶性肿瘤的临床特点及其治疗方法。方法 回顾性分析 12例胃双原发恶性肿瘤的临床资料。结果  12例中胃同时性双原发性腺癌 9例 ,胃恶性淋巴瘤合并胃腺癌 2例 ,胃间质肉瘤合并胃腺癌 1例。所有病例均手术治疗 ,并获随访。生存 5年以上者 3例 ,其余 9例因转移或复发分别于术后 2~ 4年内死亡。结论 胃双原发恶性肿瘤因其肿瘤的多中心发生 ,侵犯范围广 ,故转移复发概率相应增大。因而更加强调诊断的早期性 ,手术切除的根治性 。Objective To discuss the clinical characteristics and treatment of double primary malignant gastric neoplasms.Methods 12 cases of double primary malignant gastric neoplasms,treated from July.1986 to Oct.1997,were analized retrospectively.Results In the 12 cases,9 cases had double primary gastric adenocarcinoma,2 cases gastric malignant lymphoma combined with gastric adenocarcinoma,1 gastric interstitial sarcoma and gastric adenocarcinoma.All were treated with surgical operation and followed up.3 patients were alive for more than 5 years,and the other 9 died in 2~4 years postoperation from metastasis or relapse.Conclusion The risk of metastasis and relapse of gastric double primary malignant tumor is increased due to its multicentre and extensive invasion,which make early detection,radical exicion and assistant chemotherapy more crucial.

关 键 词:胃双原发恶性肿瘤 胃癌 临床特点 诊断 治疗 病例分析 

分 类 号:R735.2[医药卫生—肿瘤]

 

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