頁籤選單縮合
題 名 | Multiple Primary Malignant Neoplasms in Gastric Cancer Patients=胃癌病人之多重原發惡性腫瘤 |
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作 者 | 劉建良; 楊圳隆; 鄭國洋; 黃共璠; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 28:3 民84.05-06 |
頁 次 | 頁176-183 |
分類號 | 416.243 |
關鍵詞 | Multiple primary malignant neoplasms; Gastric cancer; Synchronous cancers; |
語 文 | 英文(English) |
中文摘要 | 隨著醫學的進步,人類的平均壽命愈來愈長,許多以往被視為絕症的惡性腫瘤,經過適當的治療後,其預後也逐漸改善;因而罹患一種癌症後又併發另一種不同癌症的病例,也就是所謂多重原發惡性腫瘤的發生率,也就有日益增加的囑勢。胃癌病人併有其它原發生惡性腫瘤的報告,雖然較少見於歐美文獻,但是在日本的文獻上却經常可見。 從1984年1月到1988年12月間,在本院的電腦登錄系統里,共有736例資料完整的胃癌病例,其中19例(2.6%)併有其它器官的原發惡性腫瘤;這其中又有一例(5.3%)併有三個原發惡性腫瘤。這19例併有多重原發惡性腫瘤的胃癌病人當中,17例是男性,2例是女性;診斷出胃癌時的中位年齡是66歲。有13例是異時性多重癌,第一個和第二個惡性腫瘤被診斷出來的時間間隔平均是44個月;另6例則是同時性多重癌。消化系統的器官是最常併發其它惡性腫瘤的地方,其中尤以食道癌(3例)最為常見。有三例是併發血液系統的惡性腫瘤。這19例病例的預後並不太理想,其中尤以同時性的多重癌的病人預後最差;胃癌發生在其它癌症之前的病例則有較好的預後。 吾人在對任何癌症病人的追踪當中,必須將發生多重原發惡性腫瘤的可能性隨時放在心上。唯有高度的警覺性,才可早期診斷出其它原發惡性腫瘤,並給予積極有效的治療,如此才可期待較好的預後。 |
英文摘要 | The cases of multiple primary malignant neoplasms (MPM) have increased in recent years owing to prolonged life expectancy in the general population and improved prognosis for many cancers. Although rarely seen in the English literature, cases of multiple primary malignant neoplasms with gastric cancer (MPM-G) have been frequently reported in the Japanese literature. We observed nineteen cases of MPM-G from January 1984 to December 1988 which accounted for 2.6% of all gastric cancer patients on our computer registry system during the same period. Of these nineteen cases, seventeen were male and two were female, and the average age at diagnosis of the gastric cancer was 63.9 years. Six cases were found to have synchronous cancers and thirteen cases had metachronous cancers. The average time interval between diagnosis of the first and second cancers was 44 months for the latter. Organs of the digestive system were the most common sites with associated malignancies, of which the most frequently involved organ was the esophagus (3 cases). There were three cases with hematologic malignancies. The prognosis was not satisfactory especially in patients with synchronous cancers. It is important to keep in mind the possibility of multiple primary malignancies during the patient follow-up. Long term survival can be expected only if early detection and effective treatment can be achieved. |
本系統中英文摘要資訊取自各篇刊載內容。