摘要
用全纤维结肠镜(以下简称内镜)检查了33例结、直肠癌,其中4例为结肠多原发癌,发病率为12.1％。2例第二原发癌为早期癌,是在临床症状出现前被内镜检查出来的。全纤维结肠镜检查,对结肠多原发癌是一个极好的检查方法。如果术前未作全结肠内镜检查,应该在术中或术后1～3个月内作该项检查。本组第一原发癌和第二原发癌都不在同一外科肠段。
Four cases of multiple primary carcinomas were discovered in 33 cases of colonrectal cancer diagnosed with total colonoscopy. The inoidence was 12.1％(4/33). The second cancers in two patients were found to be still at their early stage when they were discovered by colonoscopy before clinical symptoms occurred, while in the other two patients the second cancers were found to be late stage when they were examined after the clinical symptome occurred. Total colonoscopy is an excellent examination procedure for multiple primary carcinoma of the colon. We propose that total colonoscopy should be done either during or 1～3 months after operation of the first cancer if it had not been done before operation. The first and second cancers were not located in the same surgical segments in our series. However they were in the same segments as reported in literatures.
出处
《北京医学》
CAS
北大核心
1990年第1期30-32,共3页
Beijing Medical Journal
