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我院于1985~1994年共收治重复癌37例。本文就其发病年龄、部位、治疗、生存情况进行分析。其中首发宫颈癌5例,盆腔放疗,手术后4~27年3例发生子宫、阴道癌。乳腺癌9例,第二癌5例发生于生殖道,4例长期用TAM后第二癌发生在子宫卵巢。本文从遗传、放射线致癌及TAM长期应用致癌可能性进行讨论,认为应提高对重复癌的认识,防漏诊,并鉴别转移癌或复发癌。
In our hospital from 1985 to 1994 a total of 37 cases of repeated cancer were treated. This article analyzes the age, location, treatment and survival of the disease. Among them, 5 cases had first cervical cancer, pelvic radiotherapy, and 3 cases of uterine and vaginal cancer occurred 4 to 27 years after surgery. There were 9 cases of breast cancer, 5 cases of second cancer occurred in the genital tract, and 4 cases of second cancer occurred in the uterus and ovary after long-term use of TAM. This article discusses the possibility of long-term carcinogenesis caused by heredity, radiation carcinogenesis, and TAM, and believes that the recognition of repeated cancers should be enhanced to prevent misdiagnosis and to identify metastatic or recurrent cancers.