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在临床工作中我们曾遇见腰背溃疡首发症状的升结疡癌2例,现报告如下: 例1.患者男性,52岁。1993-12-05因右侧腰背部红肿、疼痛,在当地医院就诊,按“疖肿”治疗1月未愈,并出现溃烂,后经活检病理检查结果为“转移性腺癌”。随后行腹部CT检查,提示为“右中腹肿块侵及后腹壁”;纤维肠镜检查诊断为升结肠癌。于1994-03-24入院。体检:贫血貌,腹部未触及肿块,右侧腰背部可触及约一个8cm×10cm肿块,质硬、固定、境界限模糊,其中央溃烂面约4cm×5cm,其余脏器经CT及B超检查均无转移灶。予介入化疗(5-Pu 1g,DDP80mg,MMC10mg)1次,放疗50Gy后,于1994-06-09行姑息性右半结肠切除术。病理报告:升结肠低分化腺癌,癌灶直径0.8cm,侵出浆膜外,Duke D。切口愈合后出院,于1994-10-16日死于全身衰竭。 例2.患者男,38岁。1998-11-08因右侧腰背部红肿、疼痛,行抗感染治疗无效,1周后其出现溃烂,外院活检
In clinical work we have met the first symptom of back ulcer in lumbar ulcer cancer in 2 cases, are reported as follows: Example 1. The patient male, 52 years old. 1993-12-05 due to the right side of the lower back of the Ministry of redness, pain, treatment at a local hospital, according to “swollen” treatment January healed, and ulceration, post-biopsy and pathological examination results for “metastatic adenocarcinoma.” Followed by abdominal CT examination, suggesting that “the right abdomen mass invasion and posterior abdominal wall”; fiber colonoscopy diagnosed ascending colon cancer. In 1994-03-24 admitted to hospital. Physical examination: anemia appearance, the abdomen not touched the mass, the right lower back can reach about a 8cm × 10cm mass, hard, fixed, boundary blurred, the central fester surface about 4cm × 5cm, the remaining organs by CT and B-ultrasound No metastases. Interventional chemotherapy (5-Pu 1g, DDP80mg, MMC10mg) 1, radiotherapy 50Gy, in 1994-06-09 line of palliative right colon resection. Pathological report: Ascending colon poorly differentiated adenocarcinoma, tumor diameter 0.8cm, invasion of the serosa, Duke D. The incision was healed and discharged. She died of systemic failure from October 1994 to October 16. Example 2 patient male, 38 years old. 1998-11-08 due to the right lower back of the Ministry of redness, pain, line anti-infective treatment ineffective, after 1 week of its fester, outside the hospital biopsy