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既往非肿瘤腹部手术切口疤痕的转移癌甚少见。近年,本院在住院病人中发现两例,报告如下: 例1,女,53岁。因胃癌术后17个月发现右腹部肿块而入院。20年前因慢性胆囊炎行胆囊切除术。体检:触及右上腹壁阻道手术疤痕硬韧,右中腹内有径约4 cm之不规则肿块。正中胃手术切口疤痕未发硬。钡灌肠示结肠肝曲充盈缺损,钡餐见残胃无殊。诊断为结肠癌,行剖腹探查。先切除坚硬的胆进手术腹壁疤痕;腹壁下有大网膜粘连,分离后未发现残胃肿块,主要肿块在右半横结肠。行
The metastatic carcinoma of the previous non-tumor abdominal surgical incision scar is rare. In recent years, two cases have been found among hospitalized patients in this hospital. The report is as follows: Example 1, female, 53 years old. The right abdomen was diagnosed at 17 months after gastric cancer and admitted to hospital. Twenty years ago, cholecystectomy was performed for chronic cholecystitis. Physical examination: The right upper abdominal wall was blocked and the scar was hard and tough. There was an irregular mass of about 4 cm in the right middle belly. The mid-stomach incision scar was not hardened. Barium enema shows colon filling hepatic hypertrophy defect, barium meal see residual stomach no special. The diagnosis was colon cancer and laparotomy was performed. Firstly, the hard bile duct surgery abdominal wall scar was removed; there was omentum adhesion under the abdominal wall, and no residual gastric mass was found after separation. The main mass was in the right semi-transverse colon. Row