异时性多发大肠癌的诊治(附17例报告)

Diagnosis and Treatment of Metachronous Colorectal Carcinoma (Report of 17 Cases)

目的:探讨异时性多发大肠癌的临床特点。方法:对1991年-2001年期间17例异时性多发大肠癌患者的临床资料进行回顾性分析。结果:异时性多发大肠癌占大肠癌的比例为1．15％。17例患者中行根治性切除14例,姑息性手术2例,探查术1例。根治术后5年生存率为71．4％。结论:异时性多发大肠癌的预后较好,因此要力求根治性切除。加强对大肠腺瘤的处理和随诊,有助于及时发现和治疗异时性多发大肠癌。

Objective： To study the clinical features of metachronous colorectal carcinoma. Methods： There were 1473 cases with colorectal carcinoma, 17 cases were metachronous colorectal carcinoma, the pencentage was 1. 15%. The data of the 17cases were analyzed retrospectively. Results： Among the 17 cases, 14 cases received radical excision, 2 palliative resection, 1 exploration alone. The five-year survival rate of curative resection was 71. 4%. Conclusion： The progrosis of metachronons colorectal carcinoma is better than other types of colorectal carcinoma. Adequate treatment and follow-up of colorectal adenoma is of help for the early diagnosis and treatment of metachronons colorectal carcinoma.