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目的探讨老年人直肠癌的临床特点与病理学特征。方法回顾分析2006年1月-2011年6月在我院接受手术治疗的86例老年直肠癌患者的临床及病理资料。结果 86例结肠癌患者中,结肠癌发病部位在直肠为42例(48.83%),在乙状结肠23例(26.74%),在横结肠9例(10.46%),在降结肠6例(6.9%),在回盲部3例(3.48%),在脾曲3例(3.48%);病理类型:溃疡型48例(55.81%),菜花型27例(31.39%),狭窄型3例(3.48%),弥漫浸润型8例(9.30%);按分化程度分类:高分化癌25例,中分化癌28例,低分化癌33例;组织学分型:黏液腺癌44例,管状腺癌29例,分别占51.16%和33.72%。结论老年直肠癌患者恶性程度高,预后差,早诊断、早治疗可提高患者预后,直肠指检可提高直肠癌早期诊断率。
Objective To investigate the clinical features and pathological features of rectal cancer in the elderly. Methods The clinical and pathological data of 86 elderly patients with rectal cancer undergoing surgery in our hospital from January 2006 to June 2011 were retrospectively analyzed. Results Among the 86 patients with colon cancer, the incidence of colon cancer was 42 (48.83%) in the rectum, 23 (26.74%) in the sigmoid colon, 9 (10.46%) in the transverse colon and 6 (6.9%) in the descending colon There were 3 cases (3.48%) in the ileocecal region and 3 (3.48%) in the splenic song. Pathological types included 48 cases of ulcer (55.81%), 27 cases of cauliflower type (31.39% , Diffuse infiltration type in 8 cases (9.30%); According to the degree of differentiation: 25 cases of well-differentiated carcinoma, 28 cases of moderately differentiated carcinoma, 33 cases of poorly differentiated carcinoma; Histological classification: 44 cases of mucinous adenocarcinoma, 29 cases of tubular adenocarcinoma, Accounting for 51.16% and 33.72% respectively. Conclusion The elderly patients with rectal cancer have a high degree of malignancy and a poor prognosis. Early diagnosis and early treatment can improve the prognosis of patients. Rectal examination can improve the early diagnosis rate of rectal cancer.