CAJ | 학술논문

目的：探讨结直肠黏液腺癌淋巴结转移度的临床病理意义。方法收集2011年1月-2013年12月该院收治的26例结直肠黏液腺癌患者临床病理资料，根据性别﹑年龄及肿瘤部位进行分组，病理诊断确定各组术后标本收获淋巴结数及有肿瘤转移的阳性淋巴结数，按照淋巴结转移度=(阳性淋巴结数/收获淋巴结数)×100%，计算淋巴结转移度并进行统计学比较。结果26例结直肠黏液腺癌中，男性患者淋巴结转移度(37.29%)明显高于女性(14.29%)；65岁以上患者淋巴结转移度(40.63%)明显高于65岁以下(19.29%)；左半结肠和直肠肿瘤患者淋巴结转移度(46.59%)明显高于右半结肠(21.11%)，差异有统计学意义(P<0.001)。结论结直肠黏液腺癌淋巴结转移度与患者性别﹑年龄及肿瘤部位有关。
목적：탐토결직장점액선암림파결전이도적림상병리의의。방법수집2011년1월-2013년12월해원수치적26례결직장점액선암환자림상병리자료，근거성별﹑년령급종류부위진행분조，병리진단학정각조술후표본수획림파결수급유종류전이적양성림파결수，안조림파결전이도=(양성림파결수/수획림파결수)×100%，계산림파결전이도병진행통계학비교。결과26례결직장점액선암중，남성환자림파결전이도(37.29%)명현고우녀성(14.29%)；65세이상환자림파결전이도(40.63%)명현고우65세이하(19.29%)；좌반결장화직장종류환자림파결전이도(46.59%)명현고우우반결장(21.11%)，차이유통계학의의(P<0.001)。결론결직장점액선암림파결전이도여환자성별﹑년령급종류부위유관。
Objective To investigate the clinicopathological significance of lymph node metastasis ratio in colorectal mucinous adenocarcinoma. Methods The clinicopathological data of 26 cases with colorectal mucinous adenocarcinoma admitted in our hospital from January 2011 to December 2013 were collected. And the patients were divided into different groups according to the sex, age and tumor location. The number of invaded lymph nodes and the total number of resected lymph nodes in surgical specimens were diagnosed by pathologists. The lymph node metastasis ratio, which is the ratio between the number of invaded lymph nodes and the total number of resected lymph nodes, were analyzed statistically. Results Of the 26 cases with colorectal mucinous adenocarcinoma, the lymph node metastasis ratio in males (37.29%) was significantly higher than that in females (14.29%);and that in 65 years or older (40.63%) was obviously higher than that in under age 65 (19.29%);that in left hemicolon and rectal cancer (46.59%) was much higher than that in right hemicolon(21.11%), the differences were statistically significant (P<0.001). Conclusion The lymph node metastasis ratio of colorectal mucinous adenocarcinoma is correlated with the sex, age and tumor location of patient.