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相關文獻
- Resection for Pulmonary Metastasis of Colorectal Cancer
- 轉移性或復發性大腸直腸癌的前導性化學治療簡介
- Surgical Management of Pulmonary Metastases of Colorectal Cancer
- Prognostic Factors of Overall and Disease-free Survival among Patients with Colorectal Cancer Lung Metastasis after Pulmonary Resection
- Prognostic Analysis of Colorectal Cancer Patients after Surgical Resection of Pulmonary Metastasis--Case Series from a Single Center
- Adult Respiratory Distress Syndrome Caused by Neoplastic Pulmonary Metastasis--A Case Report
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- 大腸直腸癌的流行病學特徵及可能之成因
- 大腸直腸癌症病患生活品質及其相關因素之探討
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題 名 | Resection for Pulmonary Metastasis of Colorectal Cancer=大腸直腸癌肺轉移的切除 |
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作 者 | 陳培然; 許自齊; 黃常哲; | 書刊名 | 胸腔醫學 |
卷 期 | 15:2 2000.06[民89.06] |
頁 次 | 頁70-76 |
分類號 | 416.245 |
關鍵詞 | 轉移癌切除手術; 肺轉移; 大腸直腸癌; Metastasectomy; Pulmonary metastases; Colorectal cancer; |
語 文 | 英文(English) |
中文摘要 | 以外科手術作局部肺部切除,已成為大腸直腸癌合併肺轉移的主要治療方式,為評估此種治療的有效性,我們回顧性研究從1990至1999年間,有12位大腸直腸癌合併肺轉移病患,作過此種轉移癌的切除手術。其中10個病人為單獨轉移結節,2位病人為多發性結節,有11位病人僅作一次開胸手術,1位病人因局部復發作過2次手術,主要的手術方式是作肺部楔狀切除。 手術後這些病人平均存活期為40.8個月,3年與5年的存活率分別為66%與25%。其中有7位病人術後目前仍存活,且沒有任何轉移或復發的現象,由此研究發現病人如果為單獨肺轉移結節,手術前的癌胚抗原值正常,或原發癌至發現肺轉移的期間越長,病人會有較長存活期的趨勢。所以大腸直腸癌合併肺轉移的病人經篩選後作局部肺切除手術有助於提高病人的存活率。 |
英文摘要 | Surgical resection remains an important procedure for treatment of pulmonary metastases from colorectal cancer. To evaluate the efficacy of pulmonary metastasectomy, we retrospectively studied 12 patients who underwent pulmonary resection for lung metastases from colorectal cancer from 1990 through 1999. Ten patients had solitary nodule, and 2 patients had multiple nodules. Eleven patients underwent a single thora- cotomy. Wedge resection was the main surgical procedure. The average survival following thoracotomy was 40.8 months. The cumulative 3 year and 5 year survival rates were 66%, and 25%. Seven of these patients were still alive up to date without evidence of recurrence after pulmonary metastasectomy. There is a tendency for longer survival with a normal preoperative CEA level, longer disease free interval and solitary pulmonary metastatic nodule in this small retrospective study. The resection of pulmonary metastases from colorectal cancer may translate into survival benefits. |
本系統中英文摘要資訊取自各篇刊載內容。