Koshchug S D, Vladanov I P
Vopr Onkol. 1989;35(3):352-8.
Clinical course and procedures for diagnosis of primary multiple synchronous cancer of the colon are discussed on the basis of the data on 52 patients treated at the Institute's Clinic in 1962-1986. In 30.5%, these tumors were accompanied by single or multiple polyps of the colon. A significant role of endoscopy in the diagnosis was demonstrated. As a result of complex examination of the organ, a correct preoperative diagnosis of multifocal cancer was made in 48.1% of patients. Tumor multiplicity was established intraoperatively in 14 cases, at autopsy--in 2 (3.8%) and in the course of gross and histologic examination of the resected material--in 11 patients. Laparoscopy proved effective in 81.8%. Surgery is the major procedure for treatment of these tumors. Radical operation was carried out in 36 cases. The postoperative lethality rate was 13.9%. In the radical surgery group, 3-year survival was 61.7%.
根据1962年至1986年在该研究所诊所接受治疗的52例患者的数据，讨论了原发性多发性同时性结肠癌的临床病程及诊断方法。在30.5%的病例中，这些肿瘤伴有结肠单发或多发息肉。内镜检查在诊断中发挥了重要作用。通过对该器官的综合检查，48.1%的患者在术前被正确诊断为多灶性癌。术中确定肿瘤为多发性的有14例，尸检时确定的有2例（3.8%），在对切除材料进行大体和组织学检查过程中确定的有11例。腹腔镜检查的有效率为81.8%。手术是治疗这些肿瘤的主要方法。36例患者进行了根治性手术。术后致死率为13.9%。在根治性手术组中，3年生存率为61.7%。
