我国儿童大肠癌58例分析
结肠肿瘤,病理学;直肠肿瘤,病理学;腺癌，粘液,作者简介,Ananalysisof58casesofcolorectalcarcinomainChinesechildren,,Subjectheadings,Abstract,AIM,METHODS,RESULTS,CONCLUSION,主题词,摘要,目的,方法,结果,结论,1临床资料,2结果,2.
广东省中医院广东高野肛肠中心 广东省广州市 510120作者简介 任东林，男，1965-01-01生，四川省绵阳市人，汉族. 1987年泸州医学院医学系毕业，1993年在重庆医科大学获普外科硕士学位，主治医生， 主要从事肛肠疾病的诊治研究，发表论文20篇[广州市大德路111号. 电话(020)81887233-540，传真81867705].
An analysis of 58 cases of colorectal carcinoma in Chinese children
REN Dong-Lin, YUAN Han-Xiong, LUO Zhan-Bin, LIN Di-Song, FAN Xiao-Hua and ZHANG Si-Fen
The Guangdong-Takano Coloproctology Center, The Affiliated Guangdong Provincial TCM Hospital, Guangzhou 510120, China
Subject headings colonic neoplasms/pathology; rectal neoplasms/pathology; adenocarcinoma, mucinous
Abstract
AIM To analyse the clinical and pathological features of colorectal carcinoma in Chinese children.
METHODS Reported cases from 1949 to 1996 of colorectal carcinoma in Chinese journals were collected and retrospectively reviewed.
RESULTS There were 58 cases altogether; 46 were male, and 12 female with age range of 7 months to 15 years. ①Colorectal carcinoma in children accounts for about 0.41%～0.77% in the large bowel carcinomas; ②Main sites of tumor were in transverse or rightside colon and rectum (43.1% and 41.4% respectively); ③ High rate of misdiagnosis (76.9%); ④ The predominant pathological patterns were mucinoadenocarcinoma, nondifferential carcinoma and signet-ring cell carcinoma, with higher malignancy; ⑤ The rate of radical resection was lower (65.5%) than that in adult; ⑥ With poor prognosis, the 2-year survival rate was 54.8%, no 5-year survivals; ⑦The etiology was not clear, and no combined effective methods and experience are available. ......
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