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患者女,31岁,体检发现大肠多发息肉1个月、便血2 d入院。无恶心、呕吐,腹泻,入院前2 d发现大便带血,大便次数无增多,大便外形无明确改变。其父亲1年前被诊断为家族性腺瘤性息肉病。本例入院后行结肠镜检查见全结肠多发扁平状或乳头状息肉,直径0.1~0.4 cm;距肛门15 cm处直肠见不规则肿物突出管腔,中央溃烂,边缘隆起,弹性差。活检病理诊断为腺癌Ⅰ~Ⅱ级,黏膜呈慢性炎症伴腺瘤样增生或低级别上皮内瘤变。腹部、盆腔CT平扫示腹腔内相当于脐水平胰腺钩突下方似可见一
Female patient, 31 years old, physical examination found multiple polyps in the large intestine for 1 month, blood in the stool 2 d admission. No nausea, vomiting, diarrhea, stool bloody 2 days before admission, no increase in stool frequency, stool shape without a clear change. His father was diagnosed with familial adenomatous polyposis one year ago. Colonoscopy in this case after admission colon see multiple flat or papillary polyps, diameter 0.1 ~ 0.4 cm; from the anus 15 cm at the rectum to see the irregular tumor prominent lumen, central ulceration, edge uplift, poor flexibility. Biopsy pathological diagnosis of adenocarcinoma Ⅰ ~ Ⅱ grade, mucosal chronic inflammation with adenomatous hyperplasia or low-grade intraepithelial neoplasia. Abdomen, pelvic CT scan showed abdominal equivalent to the umbilical level below the uncinate process can be seen one