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多原发癌的临床特点分析

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目的 分析多原发癌的临床特点,以提高多原发癌的诊治水平.方法 回顾性分析2020 年 11 月至2023年1月收治的164 例多原发癌患者的临床资料,就多原发癌的发病率、临床特点及治疗方式进行归纳分析.结果 多原发癌的总体发生率为0.64%,男女比例为1:2.09.同时性多原发癌 42例,异时性多原发癌122 例.首发癌的好发部位依次为乳腺、呼吸系统及消化系统,第二癌的好发部位依次为呼吸系统、消化系统及生殖系统.手术、放化疗、免疫、内分泌、靶向及介入治疗均是首发癌及第二、三、四癌的重要治疗方式,第二癌的手术率低于首发癌.结论 多原发癌的治疗方式取决于每个肿瘤的病理类型、分期及患者个体差异,应提高对多原发癌的认知,做到早诊断、积极治疗,以提高患者生存质量,延长其生存期.
Analysis of clinical characteristics of multiple primary cancer
Objective To analyze the clinical characteristics of multiple primary cancer,in order to improve the diagnosis and treatment level of multiple primary cancer.Methods The clinical data of 164 patients with multiple primary cancer admitted from November 2020 to January 2023 were retrospectively analyzed,and the incidence,clinical characteristics and treatment method of multiple primary cancer were summarized and analyzed.Results The overall incidence of multiple primary cancer was 0.64%,with a male to female ratio of 1:2.09.There were 42 cases of synchronous multiple primary cancer and 122 cases of heterogeneous multiple primary cancer.The most common sites of the first cancer were breast,respiratory system and digestive system,and the most common sites of the second cancer were respiratory system,digestive system and reproductive system.Surgery,radiotherapy,chemotherapy,immunology,endocrinology,targeted and interventional therapy were all important treatment methods for first and second,third and fourth cancers,and the operation rate of second cancer was lower than that of first cancer.Conclusion The treatment method for multiple primary cancer depends on the pathological type,stage,and individual differences of each tumor.It is necessary to improve the cognition of multiple primary cancer,achieve early diagnosis and active treatment,in order to improve the quality of life and prolong survival period of patients.

multiple primary cancermorbidityclinical characteristicstreatment method

杨晓彤、高亚男

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天津市肿瘤医院空港医院放射诊断科,天津,300308

天津医科大学总医院空港医院放射科,天津,300308

多原发癌 发病率 临床特点 治疗方式

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(3)
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