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痔疮内转移性直肠腺癌：一例报告

Metastatic rectal adenocarcinoma within haemorrhoids: a case report.

作者信息

Gujral Dorothy M, Bhattacharyya Sanjeev, Hargreaves Peter, Middleton Gary W

机构信息

St Lukes Cancer Centre, Royal Surrey County Hospital, Guildford, Surrey, UK.

出版信息

J Med Case Rep. 2008 Apr 28;2:128. doi: 10.1186/1752-1947-2-128.

DOI:10.1186/1752-1947-2-128
PMID:18442399
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2386132/
Abstract

INTRODUCTION

Metastatic tumour involvement of the anal canal is rare. Routine pathological evaluation of haemorrhoidectomy specimens has been suggested to be unhelpful and expensive. Selective rather than routine pathological evaluation of haemorrhoidectomy specimens has been recommended.

CASE PRESENTATION

We report the case of a 69-year-old woman with metastatic colorectal carcinoma who presented with metastatic carcinoma within thrombosed haemorrhoids.

CONCLUSION

We suggest that in patients with colorectal cancer, careful examination of haemorrhoids on colonoscopy as well as histological examination of suspected haemorrhoidal tissue after surgical resection be performed to evaluate for metastasis.

摘要

引言

肛管转移性肿瘤累及较为罕见。有人提出对痔切除术标本进行常规病理评估并无帮助且费用高昂。因此建议对痔切除术标本进行选择性而非常规病理评估。

病例报告

我们报告一例69岁女性转移性结直肠癌患者，其血栓性痔内出现转移癌。

结论

我们建议，对于结直肠癌患者，应在结肠镜检查时仔细检查痔疮，并在手术切除后对可疑痔组织进行组织学检查，以评估是否存在转移。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5552/2386132/3cb69b549baa/1752-1947-2-128-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5552/2386132/f0ad2d49340f/1752-1947-2-128-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5552/2386132/4153825cafa5/1752-1947-2-128-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5552/2386132/3cb69b549baa/1752-1947-2-128-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5552/2386132/f0ad2d49340f/1752-1947-2-128-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5552/2386132/4153825cafa5/1752-1947-2-128-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5552/2386132/3cb69b549baa/1752-1947-2-128-3.jpg

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Is routine pathologic evaluation of hemorrhoidectomy specimens necessary?痔切除术标本的常规病理评估有必要吗？
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Metastatic renal cell carcinoma presenting as a hemorrhoid.表现为痔疮的转移性肾细胞癌。
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