| 大肠类癌的诊断与治疗 |
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| 引用本文： | 张卫,孟荣贵,傅传刚,金国祥,喻德洪.大肠类癌的诊断与治疗[J].中华普通外科杂志,2001,16(10):584-586. |
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| 作者姓名： | 张卫 孟荣贵 傅传刚 金国祥 喻德洪 |
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| 作者单位： | 解放军第二军医大学长海医院普外科 |
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| 摘 要： | 目的探讨结直肠类癌的预后因素及外科治疗方法的选择.方法回顾性分析1990～1999年经我院治疗的46例结直肠类癌的临床资料.结果大肠类癌男女之比为1.4∶1.直肠类癌发病率高(83%,38/46),肿瘤体积小(直径<2*!cm者占82%,31/38),预后较好.肿瘤直径大于2*!cm的直肠类癌转移率为71%(5/7),平均生存时间25个月.结肠类癌发现晚,转移发生早,转移率为83%(5/6),大于2*!cm结肠类癌平均生存时间18个月.结论结直肠类癌的大小,有无浸润及远处转移,是判断结直肠类癌良恶性、决定手术方式和预后的主要依据.
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| 关 键 词： | 类癌瘤 预后 临床方案 诊断 大肠肿瘤 |
| 修稿时间： | 2001年2月9日 |
Diagnosis and treatment of colorectal carcinoid |
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| ZHANG Wei,MENG Ronggui,FU Chuangang,et al..Diagnosis and treatment of colorectal carcinoid[J].Chinese Journal of General Surgery,2001,16(10):584-586. |
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| Authors: | ZHANG Wei MENG Ronggui FU Chuangang |
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| Institution: | ZHANG Wei,MENG Ronggui,FU Chuangang,et al. Department of General Surgery,Changhai Hospital,Second Military Medical University,Shanghai 200433,China |
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| Abstract: | Objective To evaluate the prognosis and surgical therapy for colorectal carcinoid. MethodsClinicopathologic features of 46 patients with colorectal carcinoid were analyzed retrospectively. Results The Male/female ratio was 1 4/1. Tumor was located in the rectum in 83% of the cases, with a diameter of less than 2*!cm in 82%. The metastatic rate of the rectal carcinoid was 71% when the tumor >2*!cm and the median survival time was 25 months. Colonic carcinoid was found later than rectal tumor, with an incidence of metastasis of 83% and the median survival time was 18 months when lesion >2*!cm. Conclusions Large invasive and metastatic carcinoid tend to be malignant, and the prognosis is usually poor, with which a radical resection may help. |
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| Keywords: | Carcinoid tumor Prognosis Clinical protocols |
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