摘要
目的分析癌周脉管癌栓对淋巴结阴性的大肠癌术后复发及生存率的影响。方法对134例行根治切除的淋巴结阴性的大肠癌临床资料做回顾性分析。分析不同肿瘤T分期癌周脉管癌栓的比例，癌周脉管癌栓对大肠癌术后复发及5年生存率的影响。结果肿瘤T分期越晚，癌周脉管癌栓的比例越高，有统计学意义（P〈0．05）。淋巴结阴性的大肠癌术后复发率癌周脉管癌栓阳性组高于对照组，其术后5年生存率癌周脉管癌栓阳性组低于对照组（P〈0．05）。结论癌周脉管癌栓影响淋巴结阴性的大肠癌预后，术后化疗对改善存在癌周脉管癌栓的淋巴结阴性的大肠癌预后可能有益。
Objective To explore the influence of peritumor intravascular cancer emboli on the recttrrence and survival rates of lymph node - negative colorectal carcinoma. Methods One hundred and thirty four patients with radical surgical resection of lymph node - negative coloreetal carcinoma were enrolled into the study. To analyze the proportion of peritumor intravas- cular cancer emboli on different T classification of lymph node - negative colorectal carcinoma. To explore the influence of peritumor intravascular cancer emboli on the recurrence and survival rates of Lymph node - negative colorectal carcinoma. Restdts The proportion of peritumor intravascular cancer emboli on different T classification is different. The proportion of peritumor intravascular cancer emboli on T4 is higer than those in the control group（ P 〈 0.05 ）. The recurrence rate in the group with peritumor intravascular cancer emboli is higer than those in the control group（ P 〈 0.05 ）. The 5 - year survival rate in the group with peritumot intravascular cancer emboli is lower than those in the control group （P 〈 0.05）. Conclusion Peritumor intravascular cancer emboli is an inportant prognostic factor of lymph node - negative colorectal carcinoma. Some patients with peritumor intravascular cancer emboli and lymph node - negative colorectal carcinoma may benefit from adjuvant chemotherapy.
出处
《中华当代医学》
2006年第1期10-11,共2页
Chinese Modern Medicine
关键词
癌周脉管癌栓
淋巴结阴性的大肠癌
预后
Peritumor
Intravascular cancer emboli
Lymph node - negative Colorectal carcinoma
Prognosis
