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目的：报告和分析儿童大肠癌的临床、病理及预后特点。方法：收集本院1980年至1995年收治的儿童大肠癌．进行回顾性分析。结果；15年间共收治5例，均为男性，占同期收治大肠癌的0．041％。肿瘤主要位于右半结肠．临床表现以中上腹疼痛、不适及消瘦、贫血为主．3例急腹症入院。病理类型以粘液腺癌后多（4例）。手术治疗为主。2年生存率40％，无5年生存者。结论：儿童大肠癌发病率低，以男性患儿多见；早期症状不典型，以中上腹反复疼痛及消瘦贫血为主要症状；主要发生于右半结肠；直肠癌者可有早期的大便习惯改变及粘液血便史；误诊率高，常以急腹症入院；病理分期较晚，就诊时以Dukes’C或D期多见；病理类型以高度恶性的粘液腺癌为主；预后差。
Objective: To report and analyze the clinical, pathological and prognostic features of colorectal cancer in children. Methods: Collected colorectal cancer in our hospital from 1980 to 1995. Retrospective analysis. Results Fifteen cases were treated in 15 years, all of whom were male, accounting for 0.041% of colorectal cancers in the same period. The tumor is mainly located in the right colon. Clinical manifestations of abdominal pain, discomfort and weight loss, anemia. 3 cases of acute abdomen admission. Pathological type mucinous adenocarcinoma after more (4 cases). Surgical treatment based. 2-year survival rate of 40%, no 5-year survival. Conclusion: The incidence of colorectal cancer in children is low, more common in male patients; atypical early symptoms, repeated pain and thinning anemia in the upper abdomen as the main symptom; mainly occurs in the right colon; rectal cancer may have early bowel habits Change and history of mucus bloody stool; high misdiagnosis rate, often admitted to hospital with acute abdomen; pathological staging late, Dukes’C or D when visiting more common; pathological type of highly malignant mucinous adenocarcinoma; poor prognosis.