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酷似包虫囊肿的右半结肠黏液腺癌

Right-colon mucinous adenocarcinoma mimicking a hydatid cyst.

作者信息

Ibáñez Noelia, Fernández Juan Ángel, Gómez Álvaro Jesús, Parrilla Pascual

机构信息

Servicio de Cirugía General y Ap. Digestivo, Hospital Universitario Virgen de la Arrixaca, España.

Hospital Universitario Virgen de la Arrixaca.

出版信息

Rev Esp Enferm Dig. 2018 Mar;110(3):196-197. doi: 10.17235/reed.2017.5041/2017.

Abstract

Hydatid disease is a fecal-oral transmission zoonosis which is endemically distributed among Mediterranean countries such as Morocco. It usually presents asymptomatically and a diagnosis is made due to cyst complications. It is most frequently located in the liver and lungs and forms large masses. The incidence of colon cancer has increased amongst population under 50 years of age during the last few decades. It has been proposed that young adult cases may have histological characteristics with a more aggressive clinical behavior. These patients are frequently diagnosed in advanced stages and a mucinous histology is frequently detected. Diagnosis is usually delayed due to a low clinical suspicion and the attribution of symptoms to other diseases such as irritable bowel and parasitosis, among others.

摘要

包虫病是一种通过粪口传播的人畜共患病,在地中海国家如摩洛哥呈地方性流行。它通常无症状,因囊肿并发症而得以诊断。它最常位于肝脏和肺部,并形成大肿块。在过去几十年中,50岁以下人群的结肠癌发病率有所上升。有人提出,年轻成人病例可能具有组织学特征,临床行为更具侵袭性。这些患者常被诊断为晚期,且常检测到黏液性组织学特征。由于临床怀疑度低,且症状常归因于其他疾病如肠易激综合征和寄生虫病等,诊断通常会延迟。

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