中国临床新医学
中國臨床新醫學
중국림상신의학
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
2014年
10期
982-985
,共4页
韦世壮(综述)%冯关荣(审校)
韋世壯(綜述)%馮關榮(審校)
위세장(종술)%풍관영(심교)
结直肠癌%腹膜转移癌%诊断评估%肿瘤细胞减灭术%腹腔热灌注化疗
結直腸癌%腹膜轉移癌%診斷評估%腫瘤細胞減滅術%腹腔熱灌註化療
결직장암%복막전이암%진단평고%종류세포감멸술%복강열관주화료
Colorectal cancer(CRC)%Peritoneal carcinomatosis(PC)%Diagnostic evaluation%Cytore-ductive surgery(CRS)%Hyperthermie intraperitoneal chemotherapy(HIPEC)
结直肠癌腹膜转移癌（ CRC PC）的诊断和治疗已经取得很大进展。过去CRC PC被认为是肿瘤晚期并全身转移的表现，一般只行姑息治疗，预后差；如今适当的CRC PC患者经过积极的治疗可显著改善预后。肿瘤细胞减灭术（ CRS）＋腹腔热灌注化疗（ HIPEC）已成为治疗CRC PC的有效手段。该文综述近年来CRC PC的诊治进展。
結直腸癌腹膜轉移癌（ CRC PC）的診斷和治療已經取得很大進展。過去CRC PC被認為是腫瘤晚期併全身轉移的錶現，一般隻行姑息治療，預後差；如今適噹的CRC PC患者經過積極的治療可顯著改善預後。腫瘤細胞減滅術（ CRS）＋腹腔熱灌註化療（ HIPEC）已成為治療CRC PC的有效手段。該文綜述近年來CRC PC的診治進展。
결직장암복막전이암（ CRC PC）적진단화치료이경취득흔대진전。과거CRC PC피인위시종류만기병전신전이적표현，일반지행고식치료，예후차；여금괄당적CRC PC환자경과적겁적치료가현저개선예후。종류세포감멸술（ CRS）＋복강열관주화료（ HIPEC）이성위치료CRC PC적유효수단。해문종술근년래CRC PC적진치진전。
Great progress has been made in the diagnosis and treatment of peritoneal carcinomatosis(PC) from colorectal cancer( CRC) .Traditionally, PC from CRC had been considered a form of systemic metastasis porten-ding a terminal state of CRC for which only palliative surgery and/or systemic chemotherapy was recommended.How-ever, patients with metastasis localized to the peritoneum have been shown to be candidates for metastasectomy with improved clinical outcomes.Complete cytoreduction in combination with HIPEC for peritoneal surface disease has been demonstrated to grealtly improve the survival outcomes.This review will examine recent evidence pertaining to the evolving surgical oncology paradigm for management of colorectal peritoneal carcinomatosis.
