Bonacina E, Barbano P R, Barberis M, Rossi M V
Tumori. 1985 Oct 31;71(5):513-8. doi: 10.1177/030089168507100517.
We report a case of primary adenocarcinoma of the terminal ileum, which presented with clinical, radiologic and surgical findings indistinguishable from Crohn's disease. The age of the patient and the rapidly progressing symptoms were the only preoperative clues to the diagnosis of an occult malignancy. Frozen sections of an intraoperative biopsy established the correct diagnosis and led to a radical change in the treatment. This is the third report of adenocarcinoma of the small bowel simulating Crohn's disease.
我们报告一例回肠末端原发性腺癌，其临床表现、影像学表现及手术所见均与克罗恩病难以区分。患者的年龄及迅速进展的症状是术前诊断隐匿性恶性肿瘤的唯一线索。术中活检的冰冻切片确定了正确诊断，并使治疗发生了根本性改变。这是小肠腺癌模拟克罗恩病的第三例报告。
