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恶性肿瘤转移规律的探讨
引用本文:刘复生,杨红鹰.恶性肿瘤转移规律的探讨[J].中华医学杂志,1994,74(7):406-409.
作者姓名:刘复生  杨红鹰
作者单位:中国医学科学院肿瘤研究所病理科,西藏自治区人民医院病理科
摘    要:报道400例恶性肿瘤尸体解剖结果,其中癌321例(80.3%),肉瘤79例(19.7%)。在肉瘤中,恶性淋巴瘤65例(82.3%),软组织及骨肉瘤14例(3.5%)。癌转移频率最高的部位是肝脏与肺脏,各为162例,占40.5%。肝转移癌主要来自乳腺癌、大肠癌、卵巢癌、非何杰金恶性淋巴瘤(NHL)及胃癌等,肺转移癌主要来自乳腺癌、肝癌、NHL、胃癌及卵巢癌等。肿瘤引流区淋巴结为最主要淋巴结转移部位,但颈部、纵隔、主动脉周闹淋巴结也为最多转移的部位。结果表明转移最广泛的肿瘤是:肺癌、胃癌、乳腺癌及NHL,而转移发生频率较少的肿瘤是:宫颈癌、膀胱癌、咽喉癌及睾丸肿瘤。这与肿瘤的部位、组织学类型及分化程度有关。提示,癌晚期要注意血道转移问题,特别要预防肝与肺的转移。

关 键 词:尸体解剖,肿瘤转移

The metastatic pattcrn of malignant tumors
LiuFusheng,Yang Hongying, Sui Guanjie,et al..The metastatic pattcrn of malignant tumors[J].National Medical Journal of China,1994,74(7):406-409.
Authors:LiuFusheng  Yang Hongying  Sui Guanjie  
Abstract:our hundred autopsy cases of malignant tumorswere analysed. Of these 321 cases (80.3%) hadcarcinoma and 79 (19.7%) sarcoma. In the 79 cases, 65had malignant lymphoma, and 14 (3.5%) soft tissueand bone tumor. The tumor eells metastatic to thelung and liver were common in the autopsy cases.There were 163 cases of metastatic tumors in the lungand liver respectively (40. 5%). The metastatic tumorin the liver was mainly from the breast, largeintestinal, ovary, stomach and NHL, and in the lungmainly from the breast, liver, NHL, stomach andovary. The lymph node metastasis was mainly locatedin the neck, mediastina, aorta. The extensivemetastatic tumors were lung caneer, gastric cancer,breast caneer and NHL, However, carcinoma inuterus cervix, urinary bladder, pharynex and testis wasmainly infiltrated in the original region. The tumormetastasis was related to the region, histologic typeand differentiation and so on.
Keywords:Autopsy Neoplasm Metastasis  
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