CAJ | 학술논문

目的探讨结肠癌继发脐转移的临床病理特征、治疗和预后.方法分析2000年1月至2010年9月结肠癌脐转移10例的临床资料.结果 4例行非根治性结肠癌切除术,同时切除脐部转移灶,术后均辅以腹腔灌注化疗,分别存活9个月、11个月、14个月和18个月;1例行回肠-横结肠吻合术,术后均辅以腹腔灌注化疗,术后存活6个月;2例全身广泛转移同时伴脐转移行单纯静脉化疗分别存活3个月、3.5个月;3例行结肠造瘘术,术后辅以静脉化疗分别存活5个月、5.5个月、7个月.结论手术切除原发灶及脐转移灶,并予辅助治疗,可延长患者生存时间.
목적 탐토결장암계발제전이적림상병리특정、치료화예후.방법 분석2000년1월지2010년9월결장암제전이10례적림상자료.결과 4례행비근치성결장암절제술,동시절제제부전이조,술후균보이복강관주화료,분별존활9개월、11개월、14개월화18개월;1례행회장-횡결장문합술,술후균보이복강관주화료,술후존활6개월;2례전신엄범전이동시반제전이행단순정맥화료분별존활3개월、3.5개월;3례행결장조루술,술후보이정맥화료분별존활5개월、5.5개월、7개월.결론 수술절제원발조급제전이조,병여보조치료,가연장환자생존시간.
Objective To study the clinical pathological features, treatment and prognosis of umbilical metastases of colorectal carcinoma. Methods From January 2000 to September 2010, 10 umbilical metastases of colorectal carcinoma cases were admitted. The clinical features were reviewed. Results Four radical resection of colon cancer and resection of the umbilical plexus metastases cases with chemotherapeutic intraperitoneal perfusion lived 9,11,14 and 18 months respectively, 1 ileum-transverse colon anastomosis case with chemotherapeutic intraperitoneal perfusion lived six months, 2 patients with systemic widely transfer and umbilical transfer with pure venous chemotherapy lived 3, 3.5 months respectively, 3 colon intra-operative cases with venous chemotherapy lived 5 ,5. 5 and 7 months respectively. Conclusion Surgical resection of the primary focal and periumbilical metastases can prolong survival time with adjunctive therapy.