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自1993年3月至1998年6月,我科收治了大肠类癌7例,占同期大肠恶性肿瘤的0.74%。其中女5例,占71%,男2例,占29%。年龄16~62岁,平均38.7岁。肿瘤直径:<1cm4例,>1cm3例。肿瘤部位:直肠4例,占57.1%,乙状结肠2例,占28.5%,阑尾1例,占14.4%。术前确诊6例,占85.7%,误诊1例,占14.3%,在术前确诊6例中,3例经肠镜活检确诊,2例经肠镜行肠息肉电切,切下的息肉标本送病理确诊,另有1例在院外误诊为急性阑尾炎,行阑尾切除,将切除的阑尾标本送病理确诊为阑尾类癌后上送我院,另1例误诊是术前活检诊断为直肠增生性息肉,术中快速冰冻切片证实为直肠类癌。本文对直肠、结肠、阑尾类痛的治疗进行了重点讨论。
From March 1993 to June 1998, our department received and treated 7 cases of colorectal carcinoid, accounting for 0.74% of the malignant tumors of the large intestine in the same period. Among them, 5 were females, accounting for 71%, and 2 males, accounting for 29%. Age 16 to 62 years old, average 38.7 years old. Tumor diameter: <1 cm 4 cases,> 1 cm 3 cases. Tumor site: 4 cases of rectum, accounting for 57.1%, 2 cases of sigmoid colon, accounting for 28.5%, 1 case of appendix, accounting for 14.4%. 6 cases were diagnosed before surgery, accounting for 85.7%, 1 case was misdiagnosed, accounting for 14.3%. Of the 6 cases diagnosed before operation, 3 cases were diagnosed by colonoscopic biopsy, and 2 cases underwent enteroscopy for enteric polyps and cut polyps. Sent pathological diagnosis, and another case was misdiagnosed as acute appendicitis outside the hospital, the appendectomy, the appendiceal specimen sent to the pathological diagnosis of appendix carcinoid sent to our hospital, and the other case was misdiagnosed as preoperative biopsy diagnosis of rectal hypertrophy Polyps, fast frozen sections during surgery were confirmed as rectal carcinoid. This article focuses on the treatment of rectal, colon, and appendiceal pains.