Bätz W, Hofmann-von Kap-herr S, Pistor G
Z Kinderchir. 1983 Oct;38(5):341-4. doi: 10.1055/s-2008-1060002.
The authors report on the case of a 12-year-old girl on whom surgery was performed for primary carcinoma of the rectum with a case history of one year. The tumour had already infiltrated the vagina. Abdominoperineal amputation of the rectum was performed. An extended tumour relapse and metastases in the liver were found on relaparotomy which had to be performed three years later The prognosis was, therefore, unfavourable indeed. Numerous publications prove that carcinoma of the rectum must be given differential diagnostic consideration even in childhood, especially if there are unclear deposits of blood in the faeces in conjunction with abdominal pain and loss of weight. Usually, the "fatal pause" between the first symptoms and the correct diagnosis is too long. Once the disease has progressed to an advanced stage, carcinoma of the rectum has a very unfavourable prognosis even in children. Simple digito-rectal examination can decisively improve the survival rate.
作者报告了一例12岁女孩的病例，该女孩因原发性直肠癌接受了手术，病史为一年。肿瘤已侵犯阴道。行直肠腹会阴切除术。三年后再次剖腹探查时发现肿瘤广泛复发并转移至肝脏，因此预后确实不佳。大量文献证明，即使在儿童期，直肠癌也必须进行鉴别诊断，尤其是当粪便中有不明原因的血迹并伴有腹痛和体重减轻时。通常，从最初症状出现到正确诊断之间的“致命延误”时间过长。一旦疾病发展到晚期，即使是儿童直肠癌的预后也非常不利。简单的直肠指检可以显著提高生存率。
