多原发性大肠癌诊断和治疗(附65例报告)

The diagnosis and treatment for multiple primary colorectal carcinoma (65 cases report)

目的探讨多原发性大肠癌的诊治。方法收集本院和浙江省肿瘤医院1995年1月至2006年12月65例多原发性大肠癌病例,并对其临床资料进行回顾分析。结果收治的多原发性大肠癌65例,占同期收治大肠癌4.3%(65/1512),65例中同时多发大肠癌47例,异时多发癌18例。结论重视多原发大肠癌肠镜检查是提高多原发大肠癌诊断的重要手段,术后随诊异时多发癌是主要手段,明确诊断异时多发癌后再手术,预后良好。

Objective TM explore the diagnosis and treatment for multiple primary colorectalcarcinoma. Methods Data of 65 cases of multiple primary colorectalcarcinoma of both second hospital of Shaoxing and Tumor Hospital of Zhejiang Province from 1995 to 2006 were retrospectively reviewed . Results Among the 65 cases , which accounts for 4.3 % （65/1512） of the cases of colorectalcarcinoma during the same period of time , there were 47 cases of synchronous carcinoma and 18 eases of metachronous carcinoma . Conclusions Colonoscopy is an important examination to improve the diagnosis rate of multiple primary colorectalcarcinoma , postoperative following up is the main method for diagnosis of metachronous multiple carcinoma . Operation after a definite diagnosis has a satisfactory prognosis.