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最近我们在临床工作中遇见了一个家族具有较集中的大肠癌的发病。虽然肿瘤与遗传的关系目前尚无肯定结论,但已有许多遗传学家提出了这一观点。为此,特将该家族的发病情况介绍如下,并予初步探讨。病例介绍 [例1]先证者男性,34岁,系其父第二个配偶的第二胎。上海某厂钳工,1973年起反复出现少量血性便,经乙状结肠镜检查于距肛门13厘米处有一菜花样新生物,同年9月施行直肠全切除术,证实为3厘米直径之带蒂肿瘤,周围淋巴结无转移。病理检查为直肠腺瘤样息内伴癌变,未侵及浆膜层。手术迄今5年余,目前情况良好。
Recently, we met a family with more concentrated colorectal cancer in clinical work. Although there is no definite conclusion about the relationship between tumor and heredity, many geneticists have put forward this view. To this end, the incidence of the family is described as follows, and preliminary discussion. Case Introduction [Example 1] A proband male, 34 years old, is the second child of his father’s second spouse. Shanghai factory fitters, a small amount of bloody stools since 1973, by sigmoidoscopy in a 13 cm from the anus, a new flower-like creatures, in the same year in September performed total rectal resection, confirmed as a 3 cm diameter pedicel tumor, around No lymph node metastasis. Histopathological examinations were intracranial adenomas with malignant lesions and did not invade the serosa. More than five years have passed since the surgery. The current situation is good.