结直肠癌脾转移3例  

Clinical and pathological features of splenic metastases of colorectal carcinoma: an analysis of three cases

作　　者：王军[1] 张宝良[1] 郭德智[1] 袁庆鑫[1] 

机构地区：[1]河北医科大学附属唐山工人医院普外科,河北省唐山市063000

出　　处：《世界华人消化杂志》2011年第3期318-320,共3页World Chinese Journal of Digestology

摘　　要：目的:探讨结直肠癌脾转移的临床特征及诊治.方法:回顾分析河北医科大学附属唐山工人医院2003-2008年3例结直肠癌脾转移的临床特征、诊断、治疗及预后.结果:3例结直肠癌脾转移患者,1例结肠癌术后行PET/CT检查确诊,其余2例均诊断为脾脓肿,2例行脾切除术,1例行剖腹探查术确诊,术后2wk死亡1例,其余2例已存活2、6年.结论:结直肠癌脾转移少见,临床误诊率高,影像学检查有助于诊断.脾脓肿患者应注意是否同时伴有结直肠癌,并行进一步检查.孤立的脾转移手术效果好.AIM： To study the clinicopathological features and diagnosis of splenic metastases of colorectal carcinoma. METHODS： The clinical data for three patients with splenic metastases of colorectal carcinoma were retrospectively analyzed to investigate the clinical features, methods of diagnosis and treatment, and prognosis of the disease. RESULTS： A definite diagnosis was achieved preoperatively by PET/CT in one patient. Two patients were initially diagnosed with splenic abscess. Splenectomy was performed in two patients, and exploratory laparoscopy in one patient. One patient died 2 wk after operation, and the other two patients survived for 2 and 6 years, respectively.carcinoma are a rare disease that is frequently misdiagnosed. Imaging examination is helpful in diagnosing splenic metastases of colorectal carcinoma. Patients with splenic abscess should be suspected of having concomitant colorectal carcinoma. Long-term survival can be achieved by splenectomy in colorectal carcinoma patients with isolated splenic metastasis.

关 键 词：结直肠癌 脾转移癌 诊断 治疗 

分 类 号：R735.3[医药卫生—肿瘤]