以腹壁转移癌为首发症状的横结肠癌1例并文献复习
A Transverse Colorectal Carcinoma with Abdominal Wall Metastatic Carcinoma as the First Manifestation: A Case Report and Related Literature Review
摘要: 本文回顾性分析青岛大学附属医院收治结肠癌腹壁转移1例,结合相关文献探讨该患者的临床病理特征及诊治过程。该患者首发症状为腹壁转移癌,其诊断主要依靠穿刺活检病理,经PET-CT与肠镜检查后确诊为横结肠癌合并腹壁转移,治疗上则以手术为主、化疗为辅,术后持续随访患者预后较好。
Abstract: In order to investigate its symptom, diagnosis, treatment and prognosis with related literature, we reported one transverse colorectal carcinoma with abdominal wall metastasis admitted to the Affiliated Hospital of Qingdao University. The initial symptom of this case is abdominal wall metastatic carcinoma, and its pathology diagnosis of biopsy is dependable. After PET-CT and colonoscopy, the diagnosis of transverse colorectal carcinoma with abdominal wall metastasis is confirmed. The main treatment is surgery, with chemotherapy as a supplement. The post-operation follow-up of this case is continuing with fair prognosis.
文章引用:李秋平, 王蓁, 郭璐璐, 李贝贝, 刘铭. 以腹壁转移癌为首发症状的横结肠癌1例并文献复习[J]. 临床医学进展, 2021, 11(3): 872-877. https://doi.org/10.12677/ACM.2021.113124

参考文献

[1] 王宁, 刘硕, 杨雷, 等. 2018年全球癌症统计报告解读[J]. 肿瘤综合治疗电子杂志, 2019, 5(1): 87-97.
[2] Stella, G.M., Senetta, R., Cassenti, A., et al. (2012) Cancers of Unknown Primary Origin: Current Perspectives and Future Therapeutic Strategies. Journal of Translational Medicine, 10, 12. [Google Scholar] [CrossRef] [PubMed]
[3] 陈金影, 蔡虎, 徐清华. 原发灶不明转移癌的临床诊断[J]. 分子诊断与治疗杂志, 2017, 9(1): 67-72.
[4] Meiri, E., Mueller, W.C., Rosenwald, S., et al. (2012) A Second-Generation Micro RNA-Based Assay for Diagnosing Tumor Tissue Origin. Oncologist, 17, 801-812. [Google Scholar] [CrossRef] [PubMed]
[5] 杨修丁, 朱跃坤, 朴大勋. 血小板在结直肠癌血行转移中作用机制的研究进展[J]. 山东医药, 2020, 60(28): 94-97.
[6] 唐勤彩, 罗和生, 全晓静, 等. 结肠癌血行转移患者的凝血功能变化[J]. 胃肠病学和肝病学杂志, 2015(1): 22-24.
[7] 辛衡, 周建平, 高威, 等. 结直肠癌患者术前血浆纤维蛋白原、癌胚抗原、糖类抗原19-9水平与临床病理特征的关系[J]. 中国医科大学学报, 2020, 49(11): 1007-1010.
[8] 胡玲, 杨华, 苏雷, 等. 180例恶性肿瘤病人血液高凝状态的临床研究[J]. 医学研究与教育, 2010, 27(5): 30-32.
[9] 邹丽芳, 姚一芸, 窦红菊, 等. 消化系统恶性肿瘤复发转移患者止凝血功能的研究[J]. 血栓与止学, 2011, 17(5): 214-218.
[10] 赵光忠, 侯利涛, 王斌, 等. 胃肠道癌开放手术后腹壁切口种植转移21例临床分析[J]. 中国综合临床, 2015, 31(8): 739-742.
[11] 郭建虎, 卢宗林. 结肠癌术后复发76例诊治分析[J]. 中国肛肠病杂志, 2014, 34(2): 16-18.
[12] 中华人民共和国国家卫生健康委员会医政医管局, 中华医学会肿瘤学分会. 中国结直肠癌诊疗规范(2020年版) [J]. 中国实用外科杂志, 2020, 40(6): 601-625.