大肠多原发癌临床分析42例
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顾国利, 王石林, 魏学明, 周晓武, 黄蓉蓉
结肠直肠肿瘤;大肠多原发癌;临床特点;遗传性非息肉病性大肠癌,顾国利,王石林,魏学明,周晓武,黄蓉蓉,通讯作者,Multipleprimarycolorectalcarci
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顾国利, 王石林, 魏学明, 周晓武, 黄蓉蓉, 空军总医院普通外科 北京市 100036
通讯作者: 顾国利, 100036, 北京市海淀区阜成路30号, 空军总医院普通外科. kzggl@163.com
电话: 010-68410099-6302
收稿日期: 2006-05-08 接受日期: 2006-05-24
Multiple primary colorectal carcinomas: an analysis of 42 cases
Guo-Li Gu, Shi-Lin Wang, Xue-Ming Wei, Xiao-Wu Zhou, Rong-Rong Huang
Guo-Li Gu, Shi-Lin Wang, Xue-Ming Wei, Xiao-Wu Zhou, Rong-Rong Huang, Department of General Surgery, General Hospital of Chinese PLA Air force, Beijing 100036, China
Correspondence to: Guo-Li Gu, Department of General Surgery, General Hospital of Chinese PLA Air force, Beijing 100036, China. kzggl@163.com
Received: 2006-05-08 Accepted: 2006-05-24
Abstract
AIM: To conclude the clinical characteristics of multiple primary colorectal carcinoma (MPCC).
METHODS: The clinical data of 42 patients with MPCC out of 1354 primary colorectal cancer cases, who were treated in our hospital from 1980 to 2005, were retrospectively analyzed.
RESULTS: The percentage of patients with MPCC was 3.10% (synchronous: 0.96%; metachronous: 2.14%). Of the 42 cases, 20 (1.48%) were accompanied by carcinoma of other organs. Adenocarcinoma was the most common cancer, locating at the right colon (46.3%) and rectum (31.3%). The tumors of other organs were mainly located at stomach, small intestine, breast, ovary and uterus. The data of 12 cases (12/42, 28.6%) were in accordance with Amsterdam criteria Ⅱ for hereditary nonpolyposis colorectal cancer (HNPCC), and the data of 16 cases (16/42, 37.2%) were in accordance with the Chinese criteria for HNPCC. Colon fiberscopy was helpful in the diagnosis of MPC.
CONCLUSION: MPCC, with a high incidence rate, has particular epidemic, clinical and pathological characteristics. Colon fiberscopy is important in the diagnosis of MPC, and postoperative following up should be strengthened for the diagnosis of HNPCC ......
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