Chawla S K, Marcelo J Y, Lopresti P, Chawla K
Am J Gastroenterol. 1986 Nov;81(11):1065-7.
This study reviews eight patients collected over a period of 3 yr with synchronous primary adenocarcinomas with special emphasis on presentation of illness, diagnosis, location of tumors, and their association with benign polyps. All of the synchronous carcinomas in this study were located in different surgical segments and all associated benign polyps were located in the same surgical segments. Workup included colonoscopy followed by completion of colon examination by barium enema. All patients underwent surgical resection of their tumors. It is therefore concluded that the incidence their tumors. It is therefore concluded that the incidence of synchronous tumors of the large colon is high enough to warrant total colon examination either by colonoscopy or barium enema.
本研究回顾了3年期间收集的8例同时性原发性腺癌患者，特别强调了疾病表现、诊断、肿瘤位置及其与良性息肉的关联。本研究中的所有同时性癌均位于不同的手术节段，所有相关的良性息肉均位于同一手术节段。检查方法包括结肠镜检查，随后通过钡剂灌肠完成结肠检查。所有患者均接受了肿瘤的手术切除。因此得出结论，大肠同时性肿瘤的发生率高到足以保证通过结肠镜检查或钡剂灌肠进行全结肠检查。
