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作 者:Zi-Xing Gong Guo-Lei Li Wen-Min Dong Zhao Xu Rui Li Wen-Xia Lv Jing Yang Zhong-Xin Li Wei Xing
机构地区:[1]Department of General Surgery,Hebei Provincial Hospital of Chinese Medicine,Shijiazhuang 050011,Hebei Province,China [2]Department of Medical Imaging,Hebei Provincial Hospital of Chinese Medicine,Shijiazhuang 050011,Hebei Province,China [3]Department of Pathology,Hebei Provincial Hospital of Chinese Medicine,Shijiazhuang 050011,Hebei Province,China [4]Department of Gastroendoscopy,Hebei Provincial Hospital of Chinese Medicine,Shijiazhuang 050011,Hebei Province,China [5]Gastrointestinal Disease Diagnosis and Treatment Center,The First Hospital of Hebei Medical University,Shijiazhuang 050000,Hebei Province,China
出 处:《World Journal of Clinical Cases》2024年第14期2412-2419,共8页世界临床病例杂志
摘 要:BACKGROUND Rectal mucinous adenocarcinoma(MAC)is a rare pathological type of rectal can-cer with unique pathological features and a poor prognosis.It is difficult to diag-nose and treat early because of the lack of specific manifestations in some aspects of the disease.The common metastatic organs of rectal cancer are the liver and lung;however,rectal carcinoma with metastasis to subcutaneous soft tissue is a rare finding.CASE SUMMARY In this report,the clinical data,diagnosis and treatment process,and postope-rative pathological features of a patient with left waist subcutaneous soft tissue masses were retrospectively analyzed.The patient underwent surgical treatment after admission and recovered well after surgery.The final pathological diagnosis was rectal MAC with left waist subcutaneous soft tissue metastasis.CONCLUSION Subcutaneous soft tissue metastasis of rectal MAC is rare,and it can suggest that the tumor is disseminated,and it can appear even earlier than the primary ma-lignant tumor,which is occult and leads to a missed diagnosis and misdiagnosis clinically.When a subcutaneous soft tissue mass of unknown origin appears in a patient with rectal cancer,a ma-lignant tumor should be considered.
关 键 词:Colorectal cancer Rectal mucinous adenocarcinoma Cancer metastasis Subcutaneous soft tissue HEMATOGENOUS Case report
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