多原发性大肠癌临床分析

目的 探讨多原发性大肠癌的临床特点和诊断治疗。方法 对1981-2001年收治的11例病人进行回顾性分析。结果 本组病例占同期所收治原发性大肠癌的4．4％(11／245)在异时多原发性癌中，第一原发癌根治术与最后癌根治术之间的间隔时间为1～15年。结论 应提高对多原发性大肠癌的认识，对病变行根治性手术。

Clinical analysis of multiple primary colorectal carcinoma

Objective This study attempted to clarify the clinical features of multiple primary colorectal carcinoma. Methods The files of 11 patients admitted from 1981 to 2001 were analyzed retrospectively. Results The incidence of multiple primary colorectal carcinoma in total colorectal cancer was 4.4%(11 /245). In metachronous multiple carcinomas, the duration between the first and the last radical operation was 1-15 years. Conclusion These results emphasize the importance of careful pre-operative examination, intra-operative exploration and post-operative surveillance. The principle of treatment was radical operation for patients with multiple primary colorectal carcinoma.