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多原发癌(Multiple Primary Cancer,MPC)同期发生者较少见.我科曾收治一例直肠癌同时伴有双侧卵巢颗粒层细.胞癌患者,报导如下.患者女性,30岁,已婚.因粘液血便半年伴有阵发性腹痛三天於1982年4月1日入院.半年前开始解粘液血性大便,当地医院曾按痢疾治疗无效,症状日渐加剧,大便每日15～20次不等.近三个月来大便有解不尽感觉.入院前三天突然出现阵发性左下腹剧痛.月经16岁初潮,周期正常,末次月经1981年11月4日.入院体检:慢性病容,贫血貌.左锁骨上触及多个蚕豆大小淋巴结(经活检病理证实为转移性差分化腺癌),腹胀.时有肠型出现.子宫妊娠4~+月大小,於其左侧触及约8×6cm之肿块,界限不清,质中等,有压痛.肛门指检发现距肛
Multiple primary cancer (MPC) is rare in the same period. Our department had received one case of rectal cancer with bilateral ovarian granular and fine cell carcinoma patients reported as follows. Patient female, 30 years old, married Six months due to mucous bloody stools with paroxysmal abdominal pain was admitted on April 1, 1982. Six months ago, bloody defecation was started. Local hospitals treated dysentery ineffective and symptoms worsened. 15 to 20 times daily. Etc.. In the past three months, there was a feeling of difficulty in stool. Three days before admission, suddenly there was sudden pain in paroxysmal left lower abdomen. Menarche was 16 years old and the cycle was normal. The last menstrual period was November 4, 1981. Admission examination: Chronic conditions , Anemia appearance. On the left clavicle on the touch of multiple broad bean size lymph nodes (pathologically confirmed by metastatic differential pathological adenocarcinoma), abdominal distension. When there is intestinal type. Uterine pregnancy 4 to + month size, on the left touches about 8 ×6cm lump, unclear boundary, medium quality, tenderness. Anal finger detection found from the anus