30例多原发恶性肿瘤的病例分析

发布时间：2018-05-24 03:05

本文选题：多原发恶性肿瘤 + 同时性　；参考：《山东中医药大学》2015年硕士论文

【摘要】：目的:探讨多原发恶性肿瘤的临床特点、致病原因、发病机制、诊断、病理类型、分期、治疗措施及预后,以期提高对多原发恶性肿瘤的诊治水平。方法:回顾性分析自2012年1月至2014年12月山东中医药大学附属医院肿瘤内科收治的经病理确诊的30例多原发恶性肿瘤患者的临床资料,应用SPSS17.0数据统计分析软件进行分析。结果:30例多原发癌患者中,男性14例,女性16例,男女比例为12:13;首发恶性肿瘤的年龄范围为29-79岁,平均年龄为56.53岁;第二原发恶性肿瘤的年龄范围为41-80岁,平均年龄为63.5岁。首发恶性肿瘤与第二原发恶性肿瘤间隔时间范围为0-37年,第二原发恶性肿瘤至第三原发恶性肿瘤时间范围为2-5年。本文30例多原发恶性肿瘤患者中,同时性多原发恶性肿瘤有6例,占20%;异时性多原发恶性肿瘤有24例,占80%。双原发恶性肿瘤有28例,三原发恶性肿瘤有2例。累及同一系统或器官者有4例,占13.33%,4例均同时累及消化系统且为双原发恶性肿瘤。结论:消化系统为多原发恶性肿瘤的高发部位;多原发恶性肿瘤与转移癌、复发癌的鉴别对于临床具有重要意义。
[Abstract]:Objective: to investigate the clinical features, causes, pathogenesis, diagnosis, pathological types, stages, treatment measures and prognosis of multiple primary malignant tumors in order to improve the diagnosis and treatment of multiple primary malignant tumors. Methods: from January 2012 to December 2014, the clinical data of 30 pathologically diagnosed patients with multiple primary malignant tumors in the Department of Oncology, affiliated Hospital of Shandong University of traditional Chinese Medicine, were retrospectively analyzed. The data were analyzed by SPSS17.0 statistical analysis software. Results among 30 patients with multiple primary cancer, 14 were male, 16 were female, the ratio of male to female was 12: 13, the age range of first malignant tumor was 29-79 years, the average age was 56.53 years, and the age range of the second primary malignant tumor was 41-80 years with an average age of 63.5 years. The interval between the first malignant tumor and the second primary malignant tumor was 0-37 years, and the time range from the second primary malignant tumor to the third primary malignant tumor was 2-5 years. In 30 patients with multiple primary malignant tumors, there were 6 cases of simultaneous multiple primary malignant tumors (20 cases) and 24 cases of allogeneic multiple primary malignant tumors (80%). There were 28 cases of double primary malignant tumor and 2 cases of three primary malignant tumor. There were 4 cases involving the same system or organ, accounting for 13.33%. All the 4 cases involved the digestive system at the same time and were double primary malignant tumor. Conclusion: the digestive system is a high incidence site of multiple primary malignant tumors, and the differential diagnosis of multiple primary malignant tumors and metastatic and recurrent cancers is of great significance in clinical practice.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R730.5

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