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患者男,61岁。1979年3月因后颈部肿块做手术切除,病理确诊为何杰金氏病(混合型)IA期。经COPP方案化疗并局部放疗后完全缓解。出院后门诊继续用COPP方案维持巩固治疗三个疗程,1982年停药至今无复发。近半年来饭食不当时常有腹泻,有时便血,量少,服消炎药后能缓解。1991年9月2日因腹痛腹泻,排粘液脓血便伴里急后重13天入院。体查:轻度贫血貌,一般情况良好,肥胖,肝脾淋巴结无肿大。化验:血红蛋白10.8g/L,白细胞4.8×10~9/L:中性0.78,淋巴0.22,血小板168×10~9/L。纤维结肠镜检见乙状结肠内有菜花样肿物。外科手术切除乙状结肠癌肿约5×5×6cm,病理诊断为乙状结肠高分化腺癌。术后病人恢复良好。
Male patient, 61 years old. In March 1979, a surgical resection was performed for the posterior neck mass. His pathological diagnosis confirmed why JK (mixed) stage IA. After COPP regimen chemotherapy and local radiotherapy complete remission. After discharge, the outpatient clinic continued to use the COPP regimen to maintain the consolidation treatment for three courses. There was no recurrence of drug withdrawal in 1982. In the past half a year, diarrhea often occurs when meals are not available, sometimes blood in the stool, and less in quantity, can be relieved after serving with anti-inflammatory drugs. On September 2, 1991, due to abdominal pain and diarrhea, the mucous blood and urine were discharged and admitted to the hospital for 13 days. Physical examination: Mild anaemia appearance, generally good condition, obesity, no swelling of liver and spleen lymph nodes. Laboratory tests: Hemoglobin 10.8g/L, WBC 4.8×10~9/L: Neutral 0.78, Lymphoid 0.22, Platelets 168×10~9/L. Fiber colonoscopy revealed a cauliflower-like mass in the sigmoid colon. Surgical resection of sigmoid colon cancer was approximately 5 x 5 x 6 cm. The pathological diagnosis was a highly differentiated adenocarcinoma of the sigmoid colon. The patient recovered well after surgery.