Debnath C R, Debnath M R, Gafur M A, Huq M H
Department of Hepatology, Mymensingh Medical College, Mymensingh, Bangladesh.
Mymensingh Med J. 2010 Jan;19(1):116-8.
Primary gastrointestinal malignancy constitutes approximately 2% of pediatric neoplasm and colorectal carcinoma is the second most common malignancy among them. This is one of the rarer diseases in children. Carcinoma of the rectum must be considered as a differential diagnosis in childhood if patient presents with per rectal bleeding in conjunction with abdominal pain & weight loss. In our article a 12 years old boy with Mucin secreting adenocarcinoma is being presented. The patient presented with incontinence of stool, with abdominal pain and history of swelling of left lower abdomen during defaecation. He got admitted in a district hospital for several times and USG of whole abdomen was done for several times but no abnormality was detected. Later on, by simple digital rectal examination (DRE) he was clinically diagnosed as a case of CA Rectum and eventually, the diagnosis was established by colonoscopy followed by biopsy.
原发性胃肠道恶性肿瘤约占儿童肿瘤的2%，其中结直肠癌是第二常见的恶性肿瘤。这是儿童中较为罕见的疾病之一。如果儿童患者出现直肠出血并伴有腹痛和体重减轻，必须将直肠癌作为鉴别诊断之一。在我们的文章中，介绍了一名12岁分泌黏液腺癌的男孩。该患者出现大便失禁、腹痛，并有排便时左下腹肿胀的病史。他多次入住地区医院，多次进行全腹超声检查，但未发现异常。后来，通过简单的直肠指检（DRE），临床诊断为直肠癌，最终通过结肠镜检查及活检确诊。
