23例原發(fā)性肺癌伴消化道轉(zhuǎn)移的病例報(bào)道及文獻(xiàn)回顧.pdf

1、浙江大學(xué)碩士學(xué)位論文23例原發(fā)性肺癌伴消化道轉(zhuǎn)移的病例報(bào)道及文獻(xiàn)回顧姓名：陳晶申請(qǐng)學(xué)位級(jí)別：碩士專業(yè)：腫瘤學(xué)指導(dǎo)教師：黃建20120424浙江大學(xué)碩士學(xué)位論文英文摘要CasereportandliteraturereViewof23casesprimarylungcancerwithgastrointestinalmetastasisSchoolofmedicine，ZhejianguniVersi夠oncologyPostgradua

2、teJingChenSuper、，isorProfJianHuangAbstractC啪relltly，theincideIlce鋤dmortal時(shí)oflungcallcerareraising，LCbecomest11emostcommonmali印aIlt咖orinmewo訂d，andmeproponionofadeIlocarcinomaisincreasingyearbyye甌Nowtheincidellceofadelloca

3、rcinomabecomememostcommompath010孚calt)，penem勾orityofpatientss耐斷舶mthediseasewimantherorganmetastasesiswrhenbeingdia印osised1ungcaJlcer，thesitesarebraill，liVer，adrenal哲andandboneGas仃ointestinalmetast硒is丘omprimarylungcarcino

4、maaStllefirstsignisinfrequeIlt，觚dmemisdiagnosis鋤dmisseddiagnosish印pen仔equentlynemostm旬ontyofcasesusuallyoccursinend—stagediseasewimseVeregastrointestinalsymptomsorautopsy，andthegastrointestinalsylllptoms嬲tlle6rStmallifes

5、tationofp訂ma巧1ungcancerissorareinclillicthesepatielltsmaymanifest嬲acuteintestinalperforation，peritonitis，bowelobstnJction，ch‘011icoccultbleeding111diseasedia印osismd仃eatIllentprocess，ifpatieIltshaVetheacutegastrointestina

6、lsymptomsisstillnotcon丘鋤edexcludinggastrointestinaltractdiseaseweshoudbelliglllysuspectthatitisthepnmarylungcanccrwimgastrointestinaImetastasis111isresultusuallyindicatestllatthepatieIlthasenteredtheendstagediseasewimapo