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病例资料患者,男,77岁,因“腹泻伴大便带血约2个月”入院。腹部查体未见明显腹部阳性体征。实验室检查:WBC 5.36×10~9/L,RBC 3.8×10~(12)/L,HGB 96 g/L,CEA15.53 ng/mL,CA 19-9 43.26 U/mL,CA 72-4 91.66 U/mL。腹盆腔CT检查(图1)示:乙状结肠壁厚、扭曲,周围粘连、浸润,考虑占位病变;乙状结肠与直肠交界处黏膜下见软组织小结节,考虑间质瘤?结肠镜检查示:距肛门10~20 cm处见肿物环肠腔1周,质硬,易出血,取活检。病理学检查
Case data, male, 77 years old, because of “diarrhea with stool about 2 months ” admission. Abdominal examination showed no significant positive abdominal signs. Laboratory tests: WBC 5.36 × 10 9 / L, RBC 3.8 × 10-12 / L, HGB 96 g / L, CEA 15.53 ng / mL, CA 19-9 43.26 U / mL, CA 72-4 91.66 U / mL. Abdominal pelvic CT examination (Figure 1) shows: sigmoid colon wall thickness, distorted, around the adhesions, infiltration, consider the occupying lesions; sigmoid colon and rectum junction mucosa see soft tissue nodules, consider stromal tumors? Colonoscopy showed: Anus 10 to 20 cm at the lump of Central Mass 1 week, hard, easy to bleed, take biopsy. Pathological examination