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1995~1998午共收治老年大肠癌107例,男73例,女34例;男女比例2.1:1,年龄最小60岁,最大87岁,平均67.5岁,有肠梗阻表现38例,急诊手术18例。肿瘤部位:回盲部6例,升结肠3例,结肠肝曲11例,横结肠10例,结肠脾曲2例,降结肠1例,乙状结肠18例,直肠55例,直肠乙状结肠(同时性)1例;病理类型与分期:管状腺癌30例,乳头状腺癌59例,粘液腺癌9例,印戒细胞癌2例,未分化腺瘸2例,平滑肌肉瘤3例,类癌1例,恶性黑色素瘤1例。DuKesA期1例,B期37例,C_1期21例,C_2期29例,D期19例。结果:临床治愈85例(79.4%),好转21例(19.6%),自动出院1例(0.9%)。
From 1995 to 1998, a total of 107 elderly patients with colorectal cancer were treated, including 73 males and 34 females; the male to female ratio was 2.1:1, the youngest was 60 years old, and the oldest 87 years old, with an average of 67.5 years old. There were 38 cases of intestinal obstruction and 18 cases of emergency surgery. . Tumor sites: ileocecal in 6 cases, ascending colon in 3 cases, colonic hepatic curvature in 11 cases, transverse colon in 10 cases, colonic splenic flexure in 2 cases, descending colon in 1 case, sigmoid colon in 18 cases, rectum in 55 cases, rectal sigmoid (simultaneous) 1 Cases; pathological types and staging: 30 cases of tubular adenocarcinoma, 59 cases of papillary adenocarcinoma, 9 cases of mucinous adenocarcinoma, 2 cases of signet ring cell carcinoma, 2 cases of undifferentiated adenopathy, 3 cases of leiomyosarcoma, 1 case of carcinoid, One case of malignant melanoma. There were 1 case in DuKesA stage, 37 cases in B stage, 21 cases in C 1 stage, 29 cases in C 2 stage, and 19 cases in D stage. Results: Clinically cured 85 cases (79.4%), improved 21 cases (19.6%), automatic discharge of 1 case (0.9%).