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近年来,由于对癌症诊断治疗水平的提高,同一患者单个或多个器官组织同时或异时发生两种以上的原发癌也逐渐增多,应给予重视。现将我们1985年9月至1994年11月间所遇5例报告如下。 1 临床病理资料 5例均男性,年龄50～77岁。第一原发癌:结肠肝曲癌1例,行右半结肠切除术,病理学所见,粘液腺癌,限局浸润性生长,Dudes B,淋巴结无转移,术后2年8个月患贲门癌。胃突部癌4例,根治性胃大部切除术3例,姑息性胃大部切除1例。病理所见,高分化腺癌2例,中分化管状腺癌2例,均浸润性生长,浸润肌层2例,浸润浆膜下1例,浆膜1例。Borr-Ⅱ型3例,Borr-Ⅰ型1例。均无淋巴结转移,分别于术后10个
In recent years, due to the improvement in the diagnosis and treatment of cancer, the occurrence of more than two types of primary cancer in one or more organ tissues of the same patient at the same time or at the same time has gradually increased, and attention should be paid to it. We now report the following five cases that we met between September 1985 and November 1994. 1 Clinical and pathological data 5 cases were male, aged 50 to 77 years old. First primary cancer: 1 case of colonic hepatic carcinoma, right colon resection, pathological findings, mucinous adenocarcinoma, limited infiltrative growth, Dudes B, lymph node metastasis, postoperative 2 years and 8 months cancer. There were 4 cases of gastric cancer, 3 cases of radical gastrectomy, and 1 case of palliative gastrectomy. Pathological findings showed that there were 2 cases of well-differentiated adenocarcinoma, 2 cases of moderately differentiated tubular adenocarcinoma, 2 cases of infiltrating growth, 2 cases of infiltrating muscularis, 1 case of infiltrative serosa and 1 case of serosa. Borr-II type 3 cases, Borr-I type 1 case. No lymph node metastasis, 10 in the postoperative period