CAJ | 학술논문

目的：探讨胶样型结直肠癌的临床特征及诊断治疗。方法选择2006年9月至2008年9月辽宁省肿瘤医院大肠外科经手术病理证实的41例胶样型结直肠癌的临床资料，进行回顾性分析总结。结果胶样型结直肠癌诊断较普通结直肠癌困难，首次确诊率仅为46．3％；41例患者中有40例进行了原发灶的根治性切除手术，切除范围大于普通结直肠癌根治术；组织病理学以黏液腺癌为主，有小部分印戒细胞癌；36例获随访患者，18例术后复发转移最终导致死亡，1、3年生存率分别为83％、56％，中位总体生存时间为44个月。结论胶样型结直肠癌病变不典型，诊断困难，预后差，外科手术是治疗的首选。
목적：탐토효양형결직장암적림상특정급진단치료。방법선택2006년9월지2008년9월요녕성종류의원대장외과경수술병리증실적41례효양형결직장암적림상자료，진행회고성분석총결。결과효양형결직장암진단교보통결직장암곤난，수차학진솔부위46．3％；41례환자중유40례진행료원발조적근치성절제수술，절제범위대우보통결직장암근치술；조직병이학이점액선암위주，유소부분인계세포암；36례획수방환자，18례술후복발전이최종도치사망，1、3년생존솔분별위83％、56％，중위총체생존시간위44개월。결론효양형결직장암병변불전형，진단곤난，예후차，외과수술시치료적수선。
Objective To investigate the clinical feature , diagnosis and treatment of colloid types in colorectal cancer .Methods A retrospectively analysis and summary of 41 patients with surgical pathologically confirmed colorectal cancer of colloid types were undertaken ,from September 2006 to September 2008 at colorectal department ,Liaoning Tumor Hospital .Results It was more difficult to diagnose correctly about colloid types than other types of colorectal cancer ,and first diagnosis rate was 46.3%;40 patients had radical resection of primary tumor,with the greater range than those of ordinary radical resection of colorectal cancer ;Most histopathology type was mucinous adenocarcinoma ,with a small quantity of signet ring cell carcinoma;36 cases were followed-up,and 18 of them were dead due to recurrence and metastasis after surgery .The 1-,3-year survival rates were 83%,56%.The median overall survival time was 44 months.Conclusion Colorectal cancer of colloid types is not typical ,which diagnosis is difficult and prognosis is poor.Surgery is the first choice for therapy .