Fujiwara Yasuhiro, Nakajima Masao, Tomochika Shinobu, Matoba Katsuhiro
Dept. of Surgery, Yawatahama City General Hospital.
Gan To Kagaku Ryoho. 2014 Nov;41(12):1665-7.
A 65-year-old woman was admitted to our hospital owing to difficulty walking and an abdominal tumor in the right lower abdomen. An irregular mass with calcification was detected in her cecum, and abdominal, intraabdominal, and retroperitoneal abscess was detected by computed tomography(CT). An irregular mass was diagnosed as Group 5 adenocarcinoma by biopsy. After the inflammation improved by abscess drainage, we conducted ileocecal resection and fenestrated the abscess. Pathological analysis showed well-differentiated tubular adenocarcinoma: dimensions 20 × 20 mm, pSS, stroma: med, INF a, ly1, v0, pPM0 (70 mm), pDM0 (70 mm), pRM0 (8mm), LN(-): #201: (0/9), fStageII. Thepatie nts can now walk, and she remains in good health and has been recurrence-free 8 months after surgery. To our knowledge, colon cancer with an abdominal abscess is comparatively rare, and we discuss this in light of the literature.
一名65岁女性因行走困难和右下腹部肿物入院。在其盲肠发现一个伴有钙化的不规则肿物，通过计算机断层扫描（CT）检测到腹部、腹内及腹膜后脓肿。经活检，该不规则肿物被诊断为5组腺癌。在通过脓肿引流使炎症改善后，我们进行了回盲部切除术并对脓肿进行开窗引流。病理分析显示为高分化管状腺癌：大小20×20mm，pSS，间质：中等，INF a，ly1，v0，pPM0（70mm），pDM0（70mm），pRM0（8mm），LN（-）：#201：（0/9），fStageII。患者现在能够行走，术后8个月身体健康且无复发。据我们所知，伴有腹部脓肿的结肠癌相对罕见，我们结合文献对此进行讨论。
