结直肠癌淋巴结转移规律的临床研究

A Clinical Research on the Metastatic Rules of the Lymph Node in the Colorectal Carcinoma

摘要: 目的　旨在研究结直肠癌淋巴结转移的规律。方法　将 48例结直肠癌的 5 5 6个淋巴结分成 5组 (C1, C2, C3,D and E), 分别送检每个淋巴结。结果　 1≤ 40岁者淋巴结转移率明显高于其它各年龄组。 2各组淋巴结以 C2组转移率最高。3肿瘤浸润越深, 细胞分化越差, 淋巴结转移率越高。 4肿瘤大小与淋巴结转移率无关。结论　 1依据各组淋巴结转移率可指导临床辅助治疗, 估计预后。 2侵犯浆膜层的 C、D期淋巴结转移率明显增高。 3粘液腺癌淋巴结转移率最高。 4中分化腺癌, 肿瘤大, 浸润深者易发生跳跃转移。

Abstract: Objective Research the metastatic rules of the lymph nodes in the colorectal carcinoma. Methods A pathological state of 556 lymph nodes of 48 cases of colorectal carcinoma specimen was divided into 5 groups (Cl,C2,C3,D and E group) and examined each one. Results (1) In aged≤40,the metastatic rate of the lymph nodes is higher than any other age groups significantly. (2) Group C2 has the higher metastaic rate. (3) The deeper the infiltration of tumor cells and the poorer the cell differentiation, showed the hi...