大肠癌肝转移诊断和治疗体会(附69例报告)

目的总结大肠癌肝转移的诊断方法和治疗效果。方法回顾性分析我院2002年1月～2006年12月收治的69例大肠癌肝转移病人的临床资料。结果本组病例同时性肝转移癌61例(88.4%),异时性肝转移癌8例(11.6%)。血CEA增高59例(72.5%),B超检查阳性率59.4%(19/32),CT检查阳性率95.2%(40/42)。肝转移灶手术切除率17.4%。全组总的1、3、5年生存率分别为94.2%、65.2%、20.1%。结论早期诊断和治疗是提高生存率的关键,外科手术 化疗是大肠癌肝转移的重要治疗方法。

Diagnosis and treatment of liver metastasis from colorectal cancer(A report of 69 cases)

Objective To summarize the diagnosis and therapeutic efficacy of liver metastasis from colorectal cancer. Methods From January 2002 to December 2006,69 patients with liver metastasis of colorectal cancer were analyzed retrospectively. Results The synchronous and heterochronous colorectal liver metastasis were 61cases(88.4%) and 8(11.6%) respectively.Serum CEA was inereased in 59 cases(72.5%). Positive rates of ultra-sonography and CT examination were 59.4%(19/32) and 95.2%(40/42) respectively. The resectional rates of hepatic metastatic foci were 17.4%. The total 1-,3-and 5-year survival rates were 94.2%,65.2%,and 20.1% respectively. Conclusion Early diagnosis and treatment is the keys to improve survival rate. And the surgical operation is important method for treating liver metastasis of colorectal cancer.