摘要
多原发癌(multiple primary cancer,MPC)的发生屡见不鲜,本院收治1例有乙肝病史的升结肠、肝脏双肿瘤患者,临床诊断为升结肠癌并肝脏转移,予3个疗程术前新辅助化疗后行手术切除,术后病理提示升结肠、肝脏MPC。结肠、肝MPC与结肠癌并肝转移瘤的治疗及预后是有差异的,这个病例提示我们,在无法明确诊断时,为不延误患者的治疗,需要通过穿刺活检来确定肿瘤性质。
With common occurrence of multiple primary cancer(MPC),our hospital admitted a patient with hepatitis B history of ascending colon,liver double tumors,clinical diagnosis of ascending colon cancer with liver metastasis,3 procedures of neoadjuvant chemotherapy before surgical resection,postoperative pathology indicated ascending colon,liver MPC.The treatment and prognosis of colon and liver MPC are different from colon cancer with liver metastasis.This case suggested us that in the absence of a definitive diagnosis,it needs to determine the nature of tumor by needle biopsy in order not to delay the treatment.
作者
廖建坤
黄子高
贺新新
罗善山
孟令候
莫显伟
LIAO Jiankun;HUANG Zigao;HE Xinxin;LUO Shanshan;MENG Linghou;MO Xianwei(Division of Colorectal and Anal,the Guangxi Medical University Cancer Hospital,Nanning 530021,China)
出处
《胃肠病学和肝病学杂志》
CAS
2021年第9期1076-1078,共3页
Chinese Journal of Gastroenterology and Hepatology
基金
广西科技基地和人才专项(桂科AD19245197)。
关键词
多原发癌
穿刺活检
诊治
Multiple primary cancer
Needle biopsy
Diagnosis and treatment
