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[横结肠癌合并巨大腹壁脓肿1例报告]

[A Case Report of Transverse Colon Cancer with Large Abdominal Wall Abscess].

作者信息

Uno Hidehiko, Takahara Yoshihiro, Nishida Takahiro, Yokota Tetsuo, Gochi Eiji

机构信息

Dept. of Surgery, Funabashi Chuo Hospital.

出版信息

Gan To Kagaku Ryoho. 2022 Dec;49(13):1591-1593.

Abstract

A 65-year-old woman presented to the emergency outpatient department with a chief complaint of left hypochondriac pain and a rapidly expanding tumor mass. Abdominal contrast-enhanced computed tomography(CT)revealed a tumor in the transverse colon and an extensive abdominal wall abscess. A colonoscopy further confirmed a tumor in the transverse colon, and the patient was diagnosed with transverse colon cancer, abdominal wall infiltration, and abdominal wall abscess. Abscess drainage was performed, and abscess cavity shrinkage was noted. Infection control progressed favorably. A transverse colectomy was performed, and the abdominal wall of the infiltration site was only partially excised. Postoperative chemotherapy was performed, and the progress was carefully followed up. Increased tumor markers were noted 12 months postoperatively, and abdominal CT revealed a 20-mm tumor in the abdominal wall. With a diagnosis of local recurrence, the abdominal wall tumor was excised. The tumor markers normalized postoperatively and chemotherapy was completed. The patient has survived without relapses for 30 months since excision.

摘要

一名65岁女性因左季肋部疼痛和迅速增大的肿瘤肿块就诊于急诊门诊。腹部增强计算机断层扫描(CT)显示横结肠有肿瘤及广泛的腹壁脓肿。结肠镜检查进一步证实横结肠有肿瘤,患者被诊断为横结肠癌、腹壁浸润及腹壁脓肿。进行了脓肿引流,脓肿腔缩小。感染控制进展顺利。实施了横结肠切除术,浸润部位的腹壁仅部分切除。术后进行了化疗,并密切随访病情进展。术后12个月肿瘤标志物升高,腹部CT显示腹壁有一个20毫米的肿瘤。诊断为局部复发后,切除了腹壁肿瘤。术后肿瘤标志物恢复正常,化疗完成。自切除肿瘤以来,患者已存活30个月无复发。

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