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患者男,25岁,因右下胸部和右上腹部皮下结节伴疼痛半个月,在他院行抗生素和局部热敷治疗无效来我院就诊.检查:一般情况尚好,表浅淋巴结不大,右胸锁骨中线八、九肋间及右上腹腹直肌外缘皮下见2.0×2.0cm及1.5×1.5cm肿块,稍高起皮肤,表面光滑、红润、中韧、边缘不清,但基底部尚活动,考虑多发性软纤维瘤.局麻下行肿瘤切除术,病理为:转移的粘液腺癌.追述病史,患者有下腹部隐痛三个月,同时伴有性生活后尿疼,尿频史,但无便意频繁、排便次数增加、排便不尽感、亦无里急后重和脓血样便史等.在省院检查为前列腺炎,按其治疗效果不明显.经直肠指诊、直肠镜检.腹部B超和CT扫描检查确诊为直肠癌并有肝及腹腔淋巴结、胸壁及腹壁皮下转移.行介入治疗两个月后死
The male patient, 25 years old, suffered subcutaneous nodules in the lower right chest and right upper abdomen with pain for half a month. He was treated in his hospital with antibiotics and local hot compresses. The examination was normal and the superficial lymph nodes were not large. Right: The occipitobrachial midline eight, nine intercostal space and right upper abdomen rectus abdominis muscle subcutaneous see 2.0×2.0cm and 1.5×1.5cm tumor, slightly elevated skin, smooth surface, red, medium tough, the edge is not clear, but the base is still Activity, consider multiple soft fibrous tumors. Under local anesthesia tumor resection, pathology: metastatic mucinous adenocarcinoma. Recall history, patients with lower abdominal pain for three months, accompanied by urinary pain after sexual life, frequent urination history, but Inconvenience, frequent defecation, increased frequency of bowel movements, lack of bowel movements, lack of urgency, and history of pus and bloody stools, etc. In the provincial hospital for prostatitis, the treatment effect was not obvious. The rectal examination, rectal microscopy. Abdominal ultrasound And CT scan confirmed the diagnosis of rectal cancer with liver and abdominal lymph nodes, chest wall and abdominal wall subcutaneous metastasis. Two months after interventional therapy