实用临床医药杂志2013，Vol.17Issue(11)：47-49,3.DOI:10.7619/jcmp.201311015
大肠癌同期肝转移相关危险因素的临床分析
Clinical analysis of risk factors related to liver metastasis synchronized with colorectal cancer
摘要
Abstract
Objective To analyze the clinical risk factors related to liver metastasis synchronized with colorectal cancer.Methods The clinical data of 85 patients with colorectal cancer were analyzed.Nineteen patients suffered from liver metastasis synchronized with colorectal cancer.Computed tomography (CT),B ultrosonography and colonoscopy were performed on all patients.The levels of serum alpha-fetoprotein (AFP),carcino embryonie antigen (CEA) and hepatitis B surface antigen (HBsAg) were detected,and the condition of liver metastasis was observed,including metastatic parts,quantity and size.Results Before operation,the detection rate of B ultrosonography and CT to the lesion with diameter more than 1 cm was significantly higher than that of CT or B ultrosonography alone; liver metastasis occurred more in left colonic carcinoma,which might be related to its growth pattern; the incidence of liver metastasis in patients with peripheral lymph nodes in primary tumor was obviously higher than that in patients without peripheral lymph nodes in primary tumor; the incidence of liver metastasis in patients with serum CEA＜ 5 μg/L was also lower than that in patients with CEA 5-15 μg/L and ＞ 15 μg/L.Conclusion Cirrhosis,peripheral lymph node metastasis in primary tumor and serum CEA level are important risk factors of liver metastasis synchronized with colorectal cancer,but CT combined with B ultrosonography and detection of serum CEA level are important methods to diagnose liver metastasis.关键词
大肠癌/同期/肝转移/危险因素Key words
colorectal cancer/ synchronization/ liver metastasis/ risk factors分类
医药卫生引用本文复制引用
李晓伟,俞文渊,王鹏,沈宇..大肠癌同期肝转移相关危险因素的临床分析[J].实用临床医药杂志,2013,17(11):47-49,3.基金项目
中国高校医学期刊临床专项资金(11320115) （11320115）
