A Retrospective Study Of The Clinical Characteristics Of 69 Cases Of Colorectal Cancer With Pulmonary Symptoms

Purpose: By collecting medical record information of patients with colorectal cancer combine with symptom of lung system,sort out the performance of their basic situation,lung system,tumor's character and therapy,TCM syndrome,tongue and pulse and so on,explore the law of the theory “lung being relative to the large intestine” in the patients with colorectal cancer,to provide inspirations for the diagnosis and treatment.Material and method: Use the retrospective analysis method,the patients with colorectal cancer in the Department of Oncology,affiliated Hospital of Liaoning University of traditional Chinese medicine from July 2018 to December 2018,who's data were gathered,and to pick the patient with symptom of lung system out from it,a total of 69 people.Then draw relevant information into excel table.After the statistical analysis by software SPSS 24.0,describe the research target's clinical features in chart form visually,so we can come to conclusions.Results:1.In 69 cases of colorectal cancer with pulmonary symptoms,the youngest is 36 and the oldest is 87 years old.People aged 61-70 is the largest proportion,there are 16 male patients,the proportion is higher than that of female patients.People aged ?50 is extremely few,only3%,and all of them are women.2.Most common pulmonary symptoms is bowel sounds and abdominal distension,cough,dry stool,cough and expectorate white phlegm,chest tightness and asthma.Two major locations of disease is lung and large intestine,significantly higher than others.3.There is no significant difference in the proportion of related family genetic history between patients with pulmonary symptoms and those without pulmonary symptoms.There is no significant difference in the proportion of bad personal habits with smoking history and drinking history between the two groups.The proportion of the patients who have both smoking history and drinking history is the highest in the two groups.4.The proportion of colorectal cancer is higher than that of rectal cancer of 69 patients,andmost of them are moderately differentiated tubular adenocarcinoma.The proportion of stage?and above is higher than that of less than stage? of the 42 patients with definite TNM stage.5.Among the 69 patients,40 patients choose surgery combine with chemotherapy,there are75.5% of the surgical healer,six of them choose surgery combine with radiotherapy and chemotherapy.6.The distribution of TCM syndromes is syndrome of liver depression and spleen deficiency(23.2%)>deficiency of Qi and Yin(17.4%)>syndrome of stagnation of liver Qi(15.9%)>syndrome of damp heat accumulation(14.5%)>deficiency of Qi and blood(11.6%)>deficiency of spleen Qi(5.8%)>syndrome of water dampness internal stop(4.3%)=phlegm dampness block syndrome(4.3%)>deficiency of spleen and kidney yang(3%).7.Tongue pulse 1)The most tongue color is light red,red and dark red.2)Light red tongue often appears at the same time with thin white fur and white greasy fur.3)Red tongue and thin white fur appear at the same time.4)Dark red tongue often appears at the same time with white greasy fur and thin white fur.5)Most stringed veins,next to veinlets.8.There is only one case was founded no abnormality Of the 55 colorectal cancer patients with pulmonary symptoms who have accurate CT data of lung.Most patients have old lung lesions,next is inflammatory lesions,interstitial change and emphysema of the rest.Various types of nodules' total proportion in lung is also more prominent,the proportion of specific categories is different.Conclusion:1.The incidence age of colorectal cancer patients with pulmonary symptoms is generally higher than that of general colorectal cancer patients.The overall characteristic of gender is that the proportion of male patients is higher than that of female patients.2.Most common pulmonary symptoms is bowel sounds and abdominal distension,cough,dry stool,cough and expectorate white phlegm,chest tightness and asthma.Two major locations of disease is lung and large intestine,significantly higher than others.3.The proportion of colorectal cancer is higher than that of rectal cancer of 69 patients,it may indicates that the disease state of lung has more obvious influence on colon.4.69 cases of colorectal cancer with pulmonary symptoms first consider the choice of radical surgery based treatment,and the acceptance of postoperative adjuvant chemotherapy is good.5.The manifestations of tongue and pulse are basically the same as the syndrome types.It is suggested that the main characteristic of this kind of patients is stagnation of Qi,gradually changing to deficiency syndrome over time.6.The proportion of patients with colorectal cancer without abnormal chest CT is very small.The abnormal manifestations are mainly image changes that still need to be combined with clinical comprehensive judgment.