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患者男性,35岁。2年前无意中发现右下腹有“鸡蛋”大小包块,无明显不适,近来发现肿块变大,伴乏力,偶有右侧腹部隐痛及黑便,体重下降4 kg。肠镜示(全结肠)距肛缘55 cm处有一5 cm×8 cm大小肿块,占肠腔2/3,黏膜呈磊石状;活检标本质地硬,易出血。镜下见黏膜慢性炎症,部分区域淋巴细胞增生明显,淋巴滤泡形成。追问病史14年前行“双侧隐睾切除术”。查体:下腹部两侧各见一个5 cm长陈旧性瘢痕。右下腹触及包块,5 cm×8 cm大小。于全麻下行右半结肠癌
Male patient, 35 years old. 2 years ago inadvertently found the right lower quadrant with “egg ” size of the mass, no obvious discomfort, recently found that the tumor becomes larger, with fatigue, occasional abdominal pain and melena on the right side, weight loss 4 kg. Colonoscopy (total colon) 55 cm from the anal margin at a size of 5 cm × 8 cm mass, accounting for 2/3 of the intestinal lumen, mucosa was Lei stone; biopsy specimens hard, easy to bleeding. Microscope see chronic inflammation of the mucosa, lymphocyte proliferation in some areas significantly, lymphoid follicles. History asked 14 years ago “bilateral cryptorchidism resection ”. Physical examination: each side of the lower abdomen, see a 5 cm long old scars. Right lower quadrant palpable mass, 5 cm × 8 cm size. Right colon cancer under general anesthesia