同时多原发性癌9例报告

Synchronous Multiple Primary Carcinomas. A Report of 9 Cases

本文报告1988年3月～1989年11月共收治同时多原发性癌9例,男5例,女4例;年龄33～65岁。均经手术病理证实。随访,6例健在3～20个月,3例死亡。在诊断上多原发癌往往以某一器官之病变为主症,易于掩盖另一原发病灶;临床医师常满足于第一诊断,忽视了第二原发病灶的存在,造成漏诊。为减少漏诊,根据症状体征进行相关的特殊检查具有重要意义。在鉴别诊断方面分析了多原发性癌与癌转移或复发的不同特点。以利于区别治疗。

Nine cases of synchronous multiple primary carcinomas,five males and four females,aged 33-65 years are reported. All of them underwent operations and comfirmed pathologically. Six of them survived 3-20 months without recurrence and the other three died. The diagnosis of multiple primary carcinomas usually is made depending on the main symptoms arising from the first carcinoma and as a result the other primary carcinoma frequently is neglected. The difference between multiple primary carcinomas and metastasis are discussed.