多原发性大肠癌的诊断和治疗  

Diagnosis and treatment of multiple primary colorectal carcinoma

作　　者：韩加刚[1] 安大立[1] 吴江平[1] 李志霞[1] 龚家镇[1] 

机构地区：[1]首都医科大学附属北京同仁医院外科,100730

出　　处：《消化外科》2003年第6期414-418,共5页Journal of Digestive Surgery

摘　　要：目的　探讨多原发性大肠癌 (MPCC)的诊断和治疗。方法　收集本院 1 0年间收治的MPCC共 1 7例 ,对其进行回顾性分析。结果　MPCC占同期收治大肠癌患者的 3 2 % (1 7 5 2 6) ,其中同时性多原发癌 (SC)占 1 3 % (7 5 2 6) ,异时性多原发癌 (MC)占 1 9% (1 0 5 2 6)。结论　提高对MPCC的认识水平、保证术前对全结肠的检查、术中认真探查全结肠和术后密切随访 。Objective To analyze the diagnosis and treatment of multiple primary colorectal carcinoma(MPCC). Methods Clinical data of 17 cases with MPCC (from 1993.4 to 2003.8) was analyzed retrospectively. Results MPCC accounted for 3.2%(17/526) of all inpatients with colorectal carcinoma during the same period, synchronous carcinoma(SC) accounted for 1.3%(7/526), metachronous carcinoma(MC) accounted for 1.9%(10/526). Conclusions Preoperative examination and intraoperative palpation of the whole colorectum and postoperative follow-up are crucial to the diagnosis, treatment and prognosis of MPCC.

关 键 词：多原发性大肠肿瘤 诊断 治疗 预后 

分 类 号：R735.34[医药卫生—肿瘤]