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[结直肠非上皮性肿瘤的鉴别诊断与外科治疗]

[Differential diagnosis and surgical treatment of colorectal nonepithelial tumors].

作者信息

Maĭstrenko N A, Simonov N N, Galkin V N, Egorov E V

出版信息

Vestn Khir Im I I Grek. 2001;160(1):37-42.

Abstract

An analysis of results of the examination and treatment of 92 patients with nonepithelial colorectal tumors has shown that the correct diagnosis can be made in 82% of the cases on the basis of using complex X-ray, ultrasonic and endoscopic methods. Of decisive significance in determination of the tumor tissue character is the morphological investigation. Extensive surgical interventions were performed due to suspected malignization on 21 patients with benign nonepithelial tumors. In other cases (n = 49) the organ-saving operations were fulfilled. The decision between the volumes of the surgery for malignant nonepithelial tumors (n = 24) was not difficult in most cases and depended on the spread of the oncological process. The 5-year survival in this group of patients was 57%. No recurrences were noted after ablation of benign tumors.

摘要

对92例非上皮性结直肠肿瘤患者的检查和治疗结果分析表明,通过综合运用X线、超声和内镜检查方法,82%的病例能够做出正确诊断。肿瘤组织特征的确定中,形态学检查具有决定性意义。21例良性非上皮性肿瘤患者因怀疑恶变接受了广泛的手术干预。其他病例(n = 49)则实施了保器官手术。大多数情况下,对于恶性非上皮性肿瘤(n = 24)的手术范围决策并不困难,这取决于肿瘤进展的程度。该组患者的5年生存率为57%。良性肿瘤切除后未发现复发情况。

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