武钢地区大肠癌315例临床病理分析

A Pathological study of 315 patients in Colorectal cancers in ten years in Wugang area

目的:了解武钢地区大肠癌的临床病理特点。方法:统计我院10年间行结肠镜检查并经病理证实为大肠癌的患者临床资料,以结肠镜及病理组织学检查为依据来确诊。结果:行结肠镜检4479例,确诊大肠癌315例(7.0%),平均发病年龄65岁,男女比例为1.5:1。直肠癌118例(37.5%),乙状结肠癌89例(28.3%)、升结肠28例(8.9%)、降结肠22例(6.9%)、脾曲20例(6.3%)、横结肠15例(4.8%)、肝曲14例(4.4%)、回盲部9例(2.9%)。左半结肠癌多于右半结肠癌,(41.5%∶21.0%),高、中分化腺癌219例(69.5%),是大肠癌主要病理类型。结论:武钢地区大肠癌检出率较低,随年龄增加,左半结肠癌增多。

Objective：To evaluate the pathology of 315 patients with colorectal cancers in ten years in Wugang area. Methods： From February 2003 to September 2012,the clinical data of 315 cases which were diagnosed as eolorectal can- cers from eolonoscopy were reviewed during the period. Results： In 4479 patients,there are 315 patients who were diag- nosed as colorectal cancers,the overall diagnostic yield being 7.0%,the average age at the diagnosis being 65 years, and the ratio of male to female being 1.5 ： 1.The lesion located in the rectum accounted for 37.5%The percentage of cancer in the left colon was higer than that in right side （41.5% vs 21.0%）.Well and moderately differentiated adenocareinoma was ob- served in 69.5% of the patients. Conclusions：The overall diagnostic yield of colorectal cancer was lower in Wugang area in than other areas. The percentage of cancer in the left colon increased with age.