论文部分内容阅读
1病例报告患者男,36岁,因右下腹痛1d在当地医院诊断急性阑尾炎,急诊行阑尾切除术,术中发现升结肠占位,未予处理,术后在当地医院行腹部CT检查提示升结肠壁增厚,见内侧肿块影,肝脏多发病灶,转移待排,遂于2012-02-17转兴化市人民医院就诊。入院后行肠镜检查见升结肠近回盲部不规则隆起,黏膜破坏,表面附有污秽物,提示升结肠癌,术前病理示腺癌(图1A)。术前肿瘤相关抗原检查,CEA、AFP、CA199和
A case report, male, 36 years old, diagnosed acute appendicitis in the local hospital due to right lower quadrant abdominal pain for 1d. The patient underwent appendectomy in emergency department. Ascending colon was found during operation and was not treated. CT scan at the local hospital showed that Colon wall thickening, see the medial mass shadow, multiple lesions of the liver, transfer to be ranked, then in 2012-02-17 Xinghua City People's Hospital. Entering the hospital after colonoscopy ascending colon near the ileocecal irregular bulge, mucosal damage, the surface with grime, suggesting ascending colon cancer, preoperative pathology showed adenocarcinoma (Figure 1A). Preoperative tumor-associated antigen test, CEA, AFP, CA199 and