Zhou Hanlei, Shao Huawei, Ho Jon Kee, Wang Xingang, Han Chunmao, Chen Guoxian
1 Second Affiliated Hospital of Zhejiang University, Hangzhou, China.
Int J Low Extrem Wounds. 2018 Mar;17(1):48-53. doi: 10.1177/1534734617750803. Epub 2018 Jan 23.
Chronic or nonhealing wounds is a complex disease influenced by a multitude of factors, such as infection, ischemia, malnutrition, and diabetes and infrequently relates to retroperitoneal carcinoma. We present a case of an adenocarcinoma of ascending colon in a 68-year-old male who had lumbago and waist fistulas with retroperitoneal abscesses preceding other signs or symptoms of colonic malignancy. Supplemental information regarding the diagnosis and treatment of nonhealing wounds and colon carcinoma has also been included in the report. Adenocarcinoma of ascending colon is rarely associated with nonhealing wounds; nevertheless, it should be considered in cases with long-term healing complications. Precise diagnostic deliberation is crucial in the management and treatment of all chronic and long-term nonhealing lesions, and appropriately performed biopsies are essential to determine whether malignancy is the primary cause.
慢性或不愈合伤口是一种受多种因素影响的复杂疾病，如感染、缺血、营养不良和糖尿病，且很少与腹膜后癌相关。我们报告一例68岁男性升结肠癌病例，该患者在出现结肠恶性肿瘤的其他体征或症状之前，就有腰痛、腰部瘘管伴腹膜后脓肿。本报告还纳入了有关不愈合伤口和结肠癌诊断与治疗的补充信息。升结肠癌很少与不愈合伤口相关；然而，对于有长期愈合并发症的病例应予以考虑。在所有慢性和长期不愈合病变的管理和治疗中，精确的诊断思考至关重要，而适当进行活检对于确定恶性肿瘤是否为主要病因至关重要。
