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本文报道结肠直肠多发性癌21例,其中异时性癌14例,同时性癌7例。施行手术40例次,作根治术者未发生严重发并症。术后12例已生存5年以上,16例健在。诊断不应满足于发现一处癌灶。术前难以观察全部结肠直肠粘膜者,可在术中作纤维结肠镜检查。根治范围应标准化。术后随访内容必须包括异时性癌和癌前病变。
This article reports 21 cases of colorectal multiple cancers, including 14 cases of heterotopic cancer and 7 cases of concurrent cancer. The operation was performed 40 times. No severe complications occurred in the patients who underwent radical surgery. After the operation, 12 cases had survived for more than 5 years and 16 cases were still alive. The diagnosis should not be satisfied with the discovery of a cancerous area. It is difficult to observe all the colorectal mucosa before surgery, and colonoscopy can be performed during the operation. The scope of cure should be standardized. Postoperative follow-up must include metachronous cancer and precancerous lesions.