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结肠癌的血管造影术。

Angiography in colonic carcinoma.

作者信息

Karlsson S, Jonsson K, Rosengren J E, Lindström C G

出版信息

Dis Colon Rectum. 1984 Oct;27(10):648-50. doi: 10.1007/BF02553355.

DOI:10.1007/BF02553355
PMID:6489071
Abstract

Angiography of the mesenteric arteries was performed in 17 patients with adenocarcinoma of the colon and rectum. At angiography, the marginal artery was encased in 13 patients and 10 of these were surgically unresectable while three could be resected radically. Encasement of the mesenteric arterial branches was found in seven of 11 unresectable tumors and in two of five resectable tumors. The resectability of colonic carcinoma cannot be established by means of angiography but in two patients with recurrent colonic carcinoma, barium-enema examinations were negative, while infiltrated vessels were demonstrated by angiography and the carcinomas were verified at surgery. Four patients received intra-arterial chemotherapy with mitomycin C. In one of these, a slight decrease in tumor size was noted, while in the others no change was noted.

摘要

对17例结肠直肠癌患者进行了肠系膜动脉血管造影。血管造影时,13例患者的边缘动脉被包绕,其中10例手术无法切除,3例可根治性切除。在11例无法切除的肿瘤中有7例以及5例可切除的肿瘤中有2例发现肠系膜动脉分支被包绕。结肠癌的可切除性不能通过血管造影来确定,但在2例复发性结肠癌患者中,钡灌肠检查为阴性,而血管造影显示有浸润血管,手术时证实有癌。4例患者接受了丝裂霉素C动脉内化疗。其中1例肿瘤大小略有缩小,其他患者未见变化。

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