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以坐骨神经受压症状为表现的穿孔性直肠癌：一例报告

Perforated Rectal Cancer Presenting With Symptoms of Sciatic Nerve Compression: A Case Report.

作者信息

O'Sullivan J L, Vu L, Tan P

机构信息

Department of General Surgery, Royal Perth Hospital, Wellington Street, Perth, Washington, Australia.

出版信息

Case Rep Surg. 2025 Jul 22;2025:8680616. doi: 10.1155/cris/8680616. eCollection 2025.

DOI:10.1155/cris/8680616
PMID:40734778
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12307074/
Abstract

In this paper, we discuss the case of a late presentation, locally advanced rectal cancer that has perforated into the greater sciatic notch, presenting with symptoms of lower limb pain and recurrent falls. In this case, we discuss the complexities of diagnosing and managing atypical presentations of colorectal cancer.

摘要

在本文中，我们讨论了一例晚期就诊的局部进展期直肠癌病例，该肿瘤已穿孔至坐骨大切迹，表现为下肢疼痛和反复跌倒的症状。在这个病例中，我们探讨了诊断和处理结直肠癌非典型表现的复杂性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fba/12307074/7969dc9ef7fd/CRIS2025-8680616.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fba/12307074/2ea6f4d1ee98/CRIS2025-8680616.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fba/12307074/a59326d892d3/CRIS2025-8680616.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fba/12307074/422901a2c2fd/CRIS2025-8680616.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fba/12307074/7969dc9ef7fd/CRIS2025-8680616.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fba/12307074/2ea6f4d1ee98/CRIS2025-8680616.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fba/12307074/a59326d892d3/CRIS2025-8680616.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fba/12307074/422901a2c2fd/CRIS2025-8680616.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fba/12307074/7969dc9ef7fd/CRIS2025-8680616.004.jpg

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本文引用的文献

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Multidisciplinary team quality improves the survival outcomes of locally advanced rectal cancer patients: A post hoc analysis of the STELLAR trial.多学科团队质量改善局部进展期直肠癌患者的生存结局：STELLAR 试验的事后分析。
Radiother Oncol. 2024 Nov;200:110524. doi: 10.1016/j.radonc.2024.110524. Epub 2024 Sep 5.
2
The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study.手术延迟对结直肠癌可切除性的影响：一项国际前瞻性队列研究。
Colorectal Dis. 2022 Mar 14;24(6):708-26. doi: 10.1111/codi.16117.
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A rare presentation of perforated carcinoma of colon as an anterior abdominal wall abscess-a case report and review of literature.
罕见的结肠穿孔癌表现为前腹壁脓肿——病例报告及文献复习
J Surg Case Rep. 2021 Nov 8;2021(11):rjab344. doi: 10.1093/jscr/rjab344. eCollection 2021 Nov.
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Inguinal abscess as presentation of a right colon cancer. A systematic review.腹股沟脓肿为右结肠癌的表现。系统评价。
Rev Esp Enferm Dig. 2020 Feb;112(2):139-143. doi: 10.17235/reed.2020.5887/2018.
5
Prognostic significance of sealed-off perforation in colon cancer: a prospective cohort study.密封穿孔在结肠癌中的预后意义：一项前瞻性队列研究。
World J Surg Oncol. 2018 Dec 4;16(1):232. doi: 10.1186/s12957-018-1530-3.
6
Outcome of colon cancer initially presenting as colon perforation and obstruction.以结肠穿孔和梗阻为首发表现的结肠癌的转归。
World J Surg Oncol. 2017 Aug 25;15(1):164. doi: 10.1186/s12957-017-1228-y.
7
Necrotising fasciitis secondary to perforated rectal adenocarcinoma presenting as a thigh swelling.继发于穿孔性直肠腺癌的坏死性筋膜炎，表现为大腿肿胀。
BMJ Case Rep. 2015 Mar 30;2015:bcr2014208312. doi: 10.1136/bcr-2014-208312.
8
Perineural spread of cervical cancer to the sciatic nerve.宫颈癌向坐骨神经的神经周围扩散。
Skeletal Radiol. 2013 Nov;42(11):1627-31. doi: 10.1007/s00256-013-1653-0. Epub 2013 Jun 11.
9
Necrotising fasciitis of the thigh secondary to a perforated rectal cancer.继发于穿孔性直肠癌的大腿坏死性筋膜炎。
J Plast Reconstr Aesthet Surg. 2009 Feb;62(2):e17-9. doi: 10.1016/j.bjps.2007.08.031. Epub 2008 Mar 3.
10
Influences on pre-hospital delay in the diagnosis of colorectal cancer: a systematic review.结直肠癌诊断中院前延迟的影响因素：一项系统综述
Br J Cancer. 2008 Jan 15;98(1):60-70. doi: 10.1038/sj.bjc.6604096. Epub 2007 Dec 4.