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结肠粘液性腺癌常被认为是一种进展性病灶,预后不佳,该肿瘤具有转移至远处的性能。作者遇到1例结肠粘液性腺癌转移至结肠和回肠粘膜,这一情况在过去文献中未见报道。病人70岁,男性,因患DukesC级直肠粘液性腺癌,于1991年11月施行低位的前侧切除术,在27枚淋巴结中有10枚已被侵及,手术标本见乙状结肠直肠处2个病灶,主瘤伸展至腹膜反折以下处,约13cm×8cm大小,深度溃疡,但未穿入浆膜层,病理检查证实为粘
Mucinous adenocarcinoma of the colon is often considered as a progressive lesion with a poor prognosis and the tumor has the ability to metastasize to distant sites. The author encountered a case of colonic mucinous adenocarcinoma metastasis to the colon and ileum mucosa, which has not been reported in the past. Patient 70 years old, male, due to suffering from Dukes C grade rectal mucinous adenocarcinoma, performed a low level anterior resection in November 1991, 10 of the 27 lymph nodes have been invaded, surgical specimens see two lesions in the sigmoid colorectal The main tumor was stretched to the area below the peritoneal reflex, about 13cm x 8cm in size, deep ulcers, but not into the serosa, pathological examination proved to be sticky