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一例直肠癌侵犯会阴的临床病例。

A clinical case of perineal invasion from rectal carcinoma.

作者信息

Mitrushi A, Bilali S, Bilali V, Mitrushi F, Mehmeti E

出版信息

G Chir. 2017 Jul-Aug;38(4):199-201. doi: 10.11138/gchir/2017.38.4.199.

DOI:10.11138/gchir/2017.38.4.199
PMID:29182902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5725164/
Abstract

We report a case of 62-year old women with skin infiltration in the perineal area after anterior rectal resection due to upper rectal cancer. Computed Tomography (CT) shows an intense infiltrative aspect of the lesion. The patient had a diffuse perineal infiltration predominantly at Levator Ani muscles and adhesions to the posterior parts of urinary bladder, uterus, vagina and perineal skin. The patient underwent surgery with colostomy to relieve the colonic tract due to obstruction and later was treated with chemo-radiation.

摘要

我们报告一例62岁女性,因上段直肠癌行直肠前切除术后出现会阴区皮肤浸润。计算机断层扫描(CT)显示病变呈强烈浸润性表现。患者存在弥漫性会阴浸润,主要累及肛提肌,并与膀胱后部、子宫、阴道及会阴皮肤粘连。患者因肠梗阻接受了结肠造口术以缓解结肠通路,随后接受了放化疗。

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1
A clinical case of perineal invasion from rectal carcinoma.一例直肠癌侵犯会阴的临床病例。
G Chir. 2017 Jul-Aug;38(4):199-201. doi: 10.11138/gchir/2017.38.4.199.
2
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Benefits of perineal colostomy on perineal morbidity after abdominoperineal resection.会阴预防性造口术对经腹会阴联合切除术患者会阴发病率的影响。
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Perineal pseudocontinent colostomy for ultra-low rectal adenocarcinoma: the muscular graft as a pseudosphincter.会阴假性节制性结肠造口术治疗超低位直肠腺癌:以肌瓣作为假性括约肌
Acta Chir Belg. 2016 Oct;116(5):278-281. doi: 10.1080/00015458.2016.1174020. Epub 2016 Jul 29.
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Continent perineal colostomy by transposition of gracilis muscles. Technical remarks and results in 14 cases.
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Pelvic and perineal recurrences after abdominoperineal resection for adenocarcinoma of the rectum.腹会阴联合切除术后直肠癌盆腔及会阴部复发
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Dis Colon Rectum. 2005 Mar;48(3):476-81; discussion 481-2. doi: 10.1007/s10350-004-0784-8.

本文引用的文献

1
Successful treatment of rectal cancer with perineal invasion: Three case reports.经会阴侵犯的直肠癌的成功治疗:三例报告
Mol Clin Oncol. 2014 Jul;2(4):497-500. doi: 10.3892/mco.2014.282. Epub 2014 Apr 17.
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A clinical case of the penile metastasis from the rectal carcinoma.一例直肠癌阴茎转移的临床病例。
Radiol Oncol. 2010 Jun;44(2):121-3. doi: 10.2478/v10019-010-0004-1. Epub 2010 May 24.
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Penile metastasis of rectal carcinoma. Case report and bibliographic review.直肠癌阴茎转移。病例报告及文献复习。
Arch Esp Urol. 2011 Dec;64(10):981-4.
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Atypical phimosis secondary to a preputial metastasis from rectal carcinoma.继发于直肠癌包皮转移的非典型包茎。
Case Rep Oncol. 2011 Sep;4(3):542-6. doi: 10.1159/000334747. Epub 2011 Nov 22.
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Sister Mary Joseph's nodule: a sign of internal malignancy.玛丽·约瑟夫修女结节:一种内部恶性肿瘤的体征。
An Bras Dermatol. 2011 Jul-Aug;86(4 Suppl 1):S118-20. doi: 10.1590/s0365-05962011000700031.
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Rates of cutaneous metastases from different internal malignancies: experience from a Taiwanese medical center.不同内部恶性肿瘤的皮肤转移率:来自台湾一家医学中心的经验。
J Am Acad Dermatol. 2009 Mar;60(3):379-87. doi: 10.1016/j.jaad.2008.10.007. Epub 2008 Dec 3.
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Inflammatory metastatic carcinoma of the colon: a case report and review of the literature.结肠炎性转移性癌:一例病例报告及文献综述
Tumori. 2004 Mar-Apr;90(2):253-5. doi: 10.1177/030089160409000218.
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Penile metastasis from rectal carcinoma.直肠癌的阴茎转移
Singapore Med J. 2004 Jun;45(6):299.
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FOLFIRI followed by FOLFOX6 or the reverse sequence in advanced colorectal cancer: a randomized GERCOR study.晚期结直肠癌中FOLFIRI序贯FOLFOX6或相反顺序:一项GERCOR随机研究
J Clin Oncol. 2004 Jan 15;22(2):229-37. doi: 10.1200/JCO.2004.05.113. Epub 2003 Dec 2.
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Cutaneous metastasis: a meta-analysis of data.皮肤转移:数据的荟萃分析
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