| 多原发大肠癌的内镜诊断及其与腺瘤的关系 |
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| 引用本文： | 刘俊,何怀纯,王崇文.多原发大肠癌的内镜诊断及其与腺瘤的关系[J].中华消化内镜杂志,1999,16(3):144-145. |
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| 作者姓名： | 刘俊 何怀纯 王崇文 |
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| 作者单位： | 江西医学院第一附属医院消化科 |
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| 摘 要： | 目的提高临床医师对多原发大肠癌的重视程度，研究腺瘤与肠癌的关系。方法总结８４３例大肠癌中多原发癌２２例（同时癌１７例，异时癌５例）的临床资料。结果多原发癌检出率２．６１％；２２例共有癌灶４９个，乙状结肠以下占６２．６％；２２例中共检出腺瘤３１个，癌变息肉达６１．２％，亦多分布在乙状结肠和直肠。结论多原发大肠癌并不少见，多原发大肠癌与腺瘤之间关系密切。对大肠癌患者行肠镜检查时，对所见息肉均应常规活检，并治疗，以减少多原发大肠癌的发生。
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| 关 键 词： | 多原发大肠癌 腺瘤 大肠镜检查 |
Synchronous and metachronous colorectal carcinoma:endoscopic diagnosis and relation with
adenoma |
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| LIU Jing,HE Huaichun,WANG Chongwen,et al..Synchronous and metachronous colorectal carcinoma:endoscopic diagnosis and relation with
adenoma[J].Chinese Journal of Digestive Endoscopy,1999,16(3):144-145. |
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| Authors: | LIU Jing HE Huaichun WANG Chongwen |
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| Institution: | LIU Jing,HE Huaichun,WANG Chongwen,et al.Dept. of Gastroenterlogy,1 st
Affiliated Hospital Jiangxi Medical College,Nanchang 330006 |
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| Abstract: | Objective A research
into relation between coloreclal adenoma and adenocarcioma was performed to elicit clinician's
alert against detection of synchronous or metachronous carcinoma at colonoscopy. Methods
The clinical materials of 22 cases with multiple colorectal carcinomas(synchronous ,n=17,
matachronous,n=5) were summerized. Results The incidence of multiple carcinomas in this
review was 2.61%(22/843).Cancerous foci totalled to 49, of which 60.6% located below the level
of sigmoid colon.Adenomas were found with malignant change in 61.2 percent at the same
level. Conclusion The occurrence of multiple colorectal canicers is not uncommon,that are
closely related with adenomas. |
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| Keywords: | Multiple carcinomasAdenomaColonoscopy |
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