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我们自1984年1月至1999年1月间,在因大肠癌而行手术切除的标本中,发现大肠血吸虫病138例;在因胃癌而行手术切除的标本中,发现十二指肠血吸虫病54例。现将该临床病理资料总结分析如下,并就血吸虫卵与癌肿的发生关系作初步的探讨。1 临床资料 在大肠癌伴发血吸虫病的138例中,男58例,女80例;年龄35～76岁,其中35～50岁26例,51～60岁89例,61～76岁23例。癌肿位于回盲部15例,升结肠及回盲部双原发癌1例,升结肠3例,横结肠6例,降结肠8例,乙状结肠59例,直肠46例。癌肿组织学类型:高分化腺癌103例,低分化腺癌22例,粘液腺癌13例。癌肿处均见日本血吸虫卵沉积。虫卵呈巢状及散在分布,所见虫卵均已钙化,外壳大部分完整,部分已破裂,未见新鲜虫卵,亦未见虫卵肉芽肿、
In our hospital from January 1984 to January 1999, 138 cases of large intestine schistosomiasis were found in specimens resected surgically due to colorectal cancer. In specimens resected surgically due to gastric cancer, we found that duodenal schistosomiasis 54 cases. The clinicopathological data are summarized as follows, and the relationship between schistosome eggs and cancer for a preliminary discussion. 1 clinical data of 138 cases of colorectal cancer associated with schistosomiasis, 58 males and 80 females; aged 35 to 76 years, of which 35 to 50 years in 26 cases, 51 to 60 years in 89 cases, 61 to 76 years in 23 cases . There were 15 cases of cancer located in the ileocecal region, 1 case of primary primary carcinoma of the ascending colon and ileocecal region, 3 cases of ascending colon, 6 cases of transverse colon, 8 cases of descending colon, 59 cases of sigmoid colon and 46 cases of rectum. Histopathological types: 103 cases of well-differentiated adenocarcinoma, 22 cases of poorly differentiated adenocarcinoma and 13 cases of mucinous adenocarcinoma. See the Japanese schistosomiasis egg deposition at the tumor. The eggs were nests and scattered distribution, the eggs have been seen calcification, most of the shell is complete, some have been broken, no fresh eggs, eggs have not seen granulomas,