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目的总结肝脏与胃肠道同时存在肿块的处理原则。方法分析12例肝脏与胃肠道同时有肿块而术中或术后病理检查证实并非癌肿转移关系者的临床资料。结果7例为同时性双重癌,3例为肝脏癌肿并胃肠道良性疾病,1例为结肠癌伴套迭而肝脏病灶来自胰腺囊实性肿瘤(低度恶性),另1例肝脏与胃肠道均为良性疾病。结论肝脏与胃肠道同时存在的肿块并不一定是癌肿转移,可能为同时性双重癌或伴发良性肿物;非转移病变的治疗与转移性癌截然不同,强调首先获得病理诊断,以进一步选择相应的手术方式。
Objective To summarize the treatment principle of simultaneous lumps in the liver and gastrointestinal tract. Methods The clinical data of 12 patients with liver and gastrointestinal tract with lumps at the same time and confirmed by intraoperative or postoperative pathological examination that they were not metastasis of cancer were analyzed. Results Seven cases were concurrent double carcinomas, three were liver cancer and benign gastrointestinal diseases, one was colon cancer with nested set and liver lesions were from pancreatic cystic solid tumors (low grade), and the other was liver Gastrointestinal tract are benign diseases. Conclusion The coexistence of liver and gastrointestinal tract is not necessarily the tumor mass metastasis, may be concurrent dual cancer or associated with benign tumor; non-metastatic disease treatment and metastatic cancer is very different, emphasizing the first pathological diagnosis to Further choose the appropriate surgical approach.