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38例多原发癌诊断及治疗体会 被引量:12

38例多原发癌诊断及治疗体会
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摘要 目的探讨多原发癌(MPC)的早期诊断及治疗方法,提高临床诊治水平。方法回顾性分析我院2003年1月~2009年1月收治的38例多原发癌患者的临床资料。结果MPC的发病率为3.2%,其中双重癌2.68%,三重癌0.39%,四重癌0.13%。男性15例,女性23例,男女比例为1:1.5。两癌发病间隔时间6个月以内者8例,6个月~5年者21例,5年以上者9例。15例男性MPC中,消化呼吸系统内不同脏器或二个系统脏器组合总例数为12例。23例女性MPC患者中,12例为双乳腺癌,女性生殖器官不同脏器间组合5例。76.3%(29例)经外科手术切除治疗,3年生存率为54.2%,5年生存率为25.9%。结论提高对多原发癌的认识,早期诊断,积极手术治疗,可显著提高疗效,延长生命,改善预后。 Objective This paper offsprings (MPC) early diagnosis and treatment, improve the clinical diagnosis and treatment. Methods Retrospective January 2003 to January 2009, 38 patients treated patients with clinical data of offsprings. Results The incidence of MPC, double carcinoma 2.68% 3.2%, triple 0.39% carcinoma, four heavy 0.13% carcinoma. Male, female 23 cases of 15 patients, 1.5. Two cancers intervals of less than 6 months in 8 cases, 6 months-5 years, 21 cases, 5 years above 9 cases. Men in 15 eases, digestive respiratory MPC in different organs or two system combined multi-visceral for 12 cases total. 23 cases of female patients in 12 cases, the MPC for breast cancer, the female reproductive organs different between 5 cases visceral combination. 29 patients (76.3%) therapy, surgical excision 3-year survival was 54.2%, 5-year survival rate for 25.9%. Conclusion To improve the understanding of offsprings, early diagnosis and treatment, can significantly improve the curative effect, prolong life, improve the prognosis.
出处 《当代医学》 2010年第7期16-17,共2页 Contemporary Medicine
关键词 多原发癌 诊断 治疗 offsprings Diagnosis treatment
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