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大肠癌在临床发病过程中可呈多发性表现,它可同时发生,亦可先后发生。本文将17例分析如下。 临床资料 17例中,男10例,女7例,发病年龄28～73岁,平均年龄57岁。本组病例中2原癌16例,3原癌1例。共35个癌灶,发生在大肠部位为,盲肠1,外结肠1,肝曲2,脾曲2,降结肠3,乙状结肠6,直肠20。2个癌灶相距小于10cm3例,大于10cm14例。临床表现为便血16例,大便习惯改变3例。全组病例一经活检病理确诊后均手术切除。病理类型多原癌同为腺癌13例,同为粘
Colorectal cancer may show multiple manifestations during clinical pathogenesis. It may occur simultaneously or sequentially. This article will analyze 17 cases as follows. Clinical data 17 cases, 10 males and 7 females, onset age of 28 to 73 years, mean age 57 years. In this group of cases, there were 16 primary cancers and 3 primary cancers. A total of 35 lesions occurred in the large intestine, cecum 1, outer colon 1, liver curve 2, spleen curve 2, descending colon 3, sigmoid colon 6, and rectum 20. The two tumor foci were less than 10 cm apart and 14 cases larger than 10 cm. The clinical manifestations were 16 cases of hematochezia and 3 cases of changes in stool habits. All cases were surgically removed after biopsy confirmed. The pathological type of multi-protocarcinoma is the same as adenocarcinoma in 13 cases.