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多原发性大肠痛是大肠癌的一种特殊的临床病理类型。可分为同时多发癌和异时多发癌。本文报告31例。其中:男21例,女10例;年龄25~70岁;共计72颗癌灶,包括同时多发癌22例51颗,异时多发癌9例21颗。2原癌26例,3原痛2例,4原癌1例,5原癌2例;在病理组织学类型上,分化型腺癌加分化型腺癌21例,分化型腺癌加粘液腺癌5例,粘液腺痈加粘液腺癌5例。除2例拒绝手术、2例行转流术后又因远端癌梗阻再次行结肠造口术,其余27例先后施行根治性切除术42例次。有29例获得随访,同时多发癌5年生存者8例,占40%,异时多发癌5年生存者9例为100%,10年以上生存者7例为78%,2例已生存18年。
Multiple primary colorectalgia is a special clinicopathological type of colorectal cancer. Can be divided into multiple cancers and multiple cancers at different times. This article reports 31 cases. Including: 21 males and 10 females; aged 25 to 70 years; a total of 72 cancer foci, including 22 simultaneous multiple cancers in 51 cases, multiple cases of different cancers in 21 cases in 21 cases. 2 26 primary cancers, 2 primary pains, 2 primary cancers, 1 primary cancer, and 5 primary cancers. In histopathological types, differentiated adenocarcinomas and differentiated adenocarcinomas were found in 21 patients. Differentiated adenocarcinomas were added with mucus. There were 5 cases of adenocarcinoma, 5 cases of mucinous adenocarcinoma and 5 cases of mucinous adenocarcinoma. In addition to 2 cases of refusal surgery, 2 cases of bypass surgery and resection of the colostomy due to distal cancer obstruction, the remaining 27 cases were followed by radical resection in 42 cases. Twenty-nine patients were followed up, while multiple 5-year survivors of cancer were 8 cases, accounting for 40%. Exotic multi-cancer 5-year survivors were 90% 100%, 7-year survivors were 78%, and 2 cases had survived 18 year.