| 低位直肠癌远侧端壁内逆行浸润的适形特点研究 |
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| 引用本文： | 周凌阳,左志贵,李鹏,陈侃松,陈伦宽,陈忠,李伟,黄文彬.低位直肠癌远侧端壁内逆行浸润的适形特点研究[J].医学研究杂志,2015,44(3):118-121. |
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| 作者姓名： | 周凌阳 左志贵 李鹏 陈侃松 陈伦宽 陈忠 李伟 黄文彬 |
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| 作者单位： | 325100 温州医科大学附属第一医院永嘉院区普外科(永嘉县中医医院);325000 温州医科大学附属第一医院肛肠外科;325000 温州医科大学附属第一医院病理科;325100 温州医科大学附属第一医院永嘉院区普外科(永嘉县中医医院);325100 温州医科大学附属第一医院永嘉院区普外科(永嘉县中医医院);325100 温州医科大学附属第一医院永嘉院区普外科(永嘉县中医医院);325100 温州医科大学附属第一医院永嘉院区普外科(永嘉县中医医院);325100 温州医科大学附属第一医院永嘉院区普外科(永嘉县中医医院) |
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| 基金项目： | 温州市科技计划基金资助项目(Y20100021) |
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| 摘 要： | 目的 探讨低位直肠癌向远侧端肠壁浸润的病理学特点。方法 对36例低位直肠癌患者手术标本在病灶同侧及对侧分别取材行病理检查。19例患者肿瘤占肠腔>1/2周标本仅行同侧取材, 以肿瘤为中心从肿瘤下缘正前方、正斜方及过肿瘤中心两侧正横向3个方向等距离多位点取材。17例患者肿瘤浸润肠腔≤1/2周标本行同侧取材外再对侧取材, 根据肿瘤下缘与齿线之间距离不同取材方法不同, 距离≤2cm者自肿瘤下缘水平面对侧直肠壁开始取材至齿线下2cm, 距离>2cm者自肿瘤下缘水平面对侧直肠壁开始取材至齿线下1cm。结果 低位直肠癌向远端肠壁浸润距肿瘤下缘<3cm, 斜向横向浸润距肿瘤<1.0cm, 肿瘤浸润肠腔>1/2周、低分化患者向直肠壁远侧端浸润距离更远。肿瘤浸润肠腔≤1/2周标本同侧肠壁浸润距肿瘤下缘<1cm, 肿瘤下缘水平面对侧直肠壁至齿状线直肠壁均未见肿瘤细胞浸润。结论 肿瘤浸润肠腔≤1/2周、中高分化且未累及齿线的低位直肠癌壁内浸润具有适形特点, 在保持TME原则的前提下对低位直肠癌远侧端肠壁采用适形切除保肛方法可能会保留更好的肛门直肠功能。
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| 关 键 词： | 低位直肠肿瘤 肠壁浸润 病理学 |
| 收稿时间： | 7/6/2014 12:00:00 AM |
| 修稿时间： | 2014/9/17 0:00:00 |
Study on the Pathological Conformal Characteristic of Distal Intramural Spread of Low Rectal Cancer |
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| Zhou Lingyang,Zuo Zhigui,Li Peng.Study on the Pathological Conformal Characteristic of Distal Intramural Spread of Low Rectal Cancer[J].Journal of Medical Research,2015,44(3):118-121. |
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| Authors: | Zhou Lingyang Zuo Zhigui Li Peng |
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| Institution: | Department of General Surgery, The Yongjia Branch Hospital of the First Affiliated Hospital, Wenzhou Medical University, Zhejiang 325100, China;Department of General Surgery, The Yongjia Branch Hospital of the First Affiliated Hospital, Wenzhou Medical University, Zhejiang 325100, China;Department of General Surgery, The Yongjia Branch Hospital of the First Affiliated Hospital, Wenzhou Medical University, Zhejiang 325100, China;Department of General Surgery, The Yongjia Branch Hospital of the First Affiliated Hospital, Wenzhou Medical University, Zhejiang 325100, China;Department of General Surgery, The Yongjia Branch Hospital of the First Affiliated Hospital, Wenzhou Medical University, Zhejiang 325100, China;Department of General Surgery, The Yongjia Branch Hospital of the First Affiliated Hospital, Wenzhou Medical University, Zhejiang 325100, China |
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| Abstract: | |
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| Keywords: | Low rectal carcinoma Distal intramural spread Pathology |
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