前腹壁脓肿为首发症状结肠癌的临床策略探讨  

Clinical decision on colon cancer with anterior abdominal wall abscess as the first symptom

作　　者：陈继安[1] 赵波[1] 韦康来[2] 黄飞[1] Ji＇an Chen;Bo Zhao;Kanglai Wei;Fei Huang(The Minimally Invasive Surgery Center of Guangxi Medical University,The Department of General Surgery;Department of Pathology,The Second Affiliated Hospital of Guangxi Medical University,Nanning 530007,China)

机构地区：[1]广西医科大学微创外科中心广西医科大学第二附属医院普外科,南宁市530007 [2]广西医科大学微创外科中心广西医科大学第二附属医院病理科,南宁市530007

出　　处：《中国肿瘤临床》2018年第14期741-744,共4页Chinese Journal of Clinical Oncology

摘　　要：目的:探讨前腹壁脓肿为首发症状的结肠癌的临床病理特点。方法:报告1例前腹壁脓肿为首发症状的结肠癌的诊治过程,并结合文献分析其临床病理特点。结果:前腹壁脓肿为首发症状结肠癌男女发病率基本一致,中老年多发,病变部位可分布在全结肠,以右半结肠为主;早期CT和肠镜检查能及早诊断,病理类型上以黏液腺癌及中高分化腺癌为主,生长缓慢,直接浸润周围组织,合并细菌感染形成前腹壁脓肿,较少出现淋巴结转移及远处转移。结论:联合脓腔的结肠癌整块切除具有潜在根治可能。Objective：To investigate the clinicopathological features of colon cancer with anterior abdominal wall abscess as the first symptom. Methods：We retrospectively analyzed the clinical data of a patient with colon cancer with anterior abdominal abscess as the first symptom and reviewed 16 relevant articles to explore the clinicopathological features of this disease. Results：The clinicopathological features of colon cancer with anterior abdominal wall abscess as the first symptom are as follows：the disease affects both men and women equivalently and is highly prevalent in older age groups; lesions can occur in the whole colon, but most of them occur in the right colon; significance of computed tomography and colonoscopy in the early stage should be emphasized; mucinous adenocarcinoma and middle-or well-differentiated adenocarcinoma are the primary histological types; lesions are slow growing and usually spread by direct invasion and rarely cause lymph node and other distant metastases; and the anterior abdominal wall abscess is apt to form once the lesions are complicated with bacterial infections. Conclusions：En bloc excision of the full-thickness anterior abdominal wall, including the abscess and colon cancer, may be the most appropriate curative procedure, making the lesions potentially curable.

关 键 词：结肠癌 前腹壁脓肿 临床病理特征 

分 类 号：R735.34[医药卫生—肿瘤]