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題名 | Surgical Treatment of Retrorectal Presacral Malignancy=直腸後薦骨前惡性腫瘤之外科治療 |
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作者 | 雷與利; 許自齊; 蘇榮源; 賴建宏; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
卷期 | 8:1 1997.03[民86.03] |
頁次 | 頁7-12 |
分類號 | 416.245 |
關鍵詞 | 直腸後薦骨前惡性腫瘤; 外科治療; Retrorectal; Presacral; Leiomyosarcoma; Chordoma; |
語文 | 英文(English) |
英文摘要 | 自西元1983年至1996年,14位患有原發性直腸後薦骨前惡性腫瘤患者於馬階醫院 接受了治療。最常見的惡性腫瘤為平滑肌肉瘤,佔了七例,薦骨脊索瘤患者有三例,軟骨肉 瘤、惡性經鞘瘤、鱗狀細胞惡性腫瘤、巨大細胞瘤各一例。所有的患者都有症狀。 80 %的 患者在指診探測檢查即發現有腫瘤壓迫。所有患者均接受了外科治療。四位病患需要接受薦 骨切除,六位患者無可避免的接受永久性腸造�瓷A四位患者需要接受術後放射線治療。追蹤 結果七位患者已經死亡,六位患者存活而沒有疾病再發現象及一位病患仍然存活但併有遠端 轉移。因為許多腫瘤呈現時多半已是晚期,所以一個完整的外科治療計劃是患者唯一治癒的 機會。 ral resections were necessary and six permanent stomies wee unavoidable. Four patients were subjected to postoperative radiotherapy. Seven patients eventually succumbed to the disease. Six patients are alive without evidence of disease and one patient is still alive with distant metastasis. With the disease usually advanced upon presentation, a well planned surgical approach is the patient's only chance for cure. |
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