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早期结直肠癌诊治中的陷阱与对策

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摘要 在我国,结直肠癌的发病率在不断上升。长期以来临床所见的病例约有3/4属中后期病变,这是严重影响治疗效果的主要因素。根据现有资料,当前结直肠癌总的5年生存率已达62.3%,Ⅰ/Ⅱ期的5年生存率为90.1%,Ⅱ期的5年生存率为65.5%,Ⅳ期的5年生存率为9.2%。无疑病期是决定患者预后的重要因素,这已是共识。然而随着肿瘤病理学的发展,当前已认识到除有无淋巴转移是影响预后的关键性因素外,即使在没有淋巴转移的病例中,肿瘤局部浸润的深浅同样是一个决定预后的独立因素。对于癌肿,
作者 都宝铭
出处 《中华外科杂志》 CAS CSCD 北大核心 2008年第18期1364-1366,共3页 Chinese Journal of Surgery
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参考文献17

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