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三重原发癌临床罕见,国内报道不多,本院七年来收治两例,报告如下: 例1、男,61岁,因肛门疼痛伴大便带血半年,于1985年9月入院。患者曾于1975年12月因“迴盲部腺癌”行右半结肠切除。1983年11月因“上消化道出血”急诊胃镜发现“贲门癌”而行根治性胃近端大部切除。病理报告为“贲门部管状腺癌三级”,同期肛查发现直肠前壁有息肉样肿块,病检证实为直肠腺癌Ⅱ级”,胃手术后三月动员再手术遭拒。现因肛痛,
Triple primary cancers are clinically rare. There are few domestic reports. The hospital has treated two cases in the past seven years. The report is as follows: Example 1. Male, 61 years old, was admitted to hospital in September 1985 due to anal pain associated with stool for half a year. The patient had had a right colon resection in December 1975 for “adenocarcinoma adenocarcinoma.” In November 1983, radical gastrectomy was performed for the diagnosis of “cardia cancer” due to emergency gastroscopy of “upper gastrointestinal bleeding”. The pathology report was “Grade 3 of tubular adenocarcinoma at the cardia”. During the same period of anal examination, a polypoid mass was found on the anterior rectal wall. The pathological examination confirmed that it was rectal adenocarcinoma of grade II. The surgery was refused after mobilization three months after gastric surgery. pain,