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亚历山德拉公主医院的结直肠癌:729例病例的前瞻性研究。

Colorectal cancer at the Princess Alexandra Hospital: a prospective study of 729 cases.

作者信息

Cohen J R, Theile D E, Evans E B, Quinn R L, Davis N C

出版信息

Aust N Z J Surg. 1983 Apr;53(2):113-9. doi: 10.1111/j.1445-2197.1983.tb02409.x.

DOI:10.1111/j.1445-2197.1983.tb02409.x
PMID:6576755
Abstract

The results of treatment of 729 patients with cancer of the large bowel treated at the Princess Alexandra Hospital from January 1971 to December 1980 have been analysed. The majority (540 patients or 74.1%) presented with symptoms requiring investigation, and there was an incidence of acute obstruction of 17.6% (128 patients). In just over half the patients (55.3%) there was a significant delay in diagnosis. The operative mortality rate for curative resections for both rectal and colonic cancer was 2.7%. There was no mortality in 24 curative local resections for rectal cancer. The resection rate for the whole group was 87.4% and the age corrected 5-year survival rates were Dukes' A 99.1%; Dukes' B 78.3%; and Dukes' C 32.4%. These results are compared with those reported in a retrospective study from this Hospital in 1975 and with those from other Australian and overseas centres.

摘要

对1971年1月至1980年12月在亚历山德拉公主医院接受治疗的729例大肠癌患者的治疗结果进行了分析。大多数患者(540例,占74.1%)因出现需要检查的症状前来就诊,急性肠梗阻的发生率为17.6%(128例)。超过半数的患者(55.3%)在诊断上有显著延迟。直肠癌和结肠癌根治性切除的手术死亡率为2.7%。24例直肠癌根治性局部切除无死亡病例。全组切除率为87.4%,年龄校正后的5年生存率为:Dukes'A期99.1%;Dukes'B期78.3%;Dukes'C期32.4%。将这些结果与该医院1975年的一项回顾性研究报告结果以及其他澳大利亚和海外中心的结果进行了比较。

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引用本文的文献

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Colorectal carcinoma: importance of clinical and pathological factors in survival.结直肠癌:临床和病理因素对生存的重要性
Ann R Coll Surg Engl. 1994 Jan;76(1):59-64.
2
Pathologic prognostic factors for gastrointestinal cancer.胃肠道癌的病理预后因素。
World J Surg. 1995 Mar-Apr;19(2):178-83. doi: 10.1007/BF00308623.