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作者报告561例年逾40岁因急性阑尾炎切除阑尾的患者中,有16例(2.9%)在三年内因患结肠直肠癌而复诊,其中38%的患者已有远处转移。当急性阑尾炎和结肠直肠癌同时存在时,后者有可能被忽略而延误诊断和治疗。本文试就急性阑尾炎为结肠直肠癌的一个征象,以及两种疾病同时发生的问题予以讨论。材料和方法:选择1965～1978年间年逾40岁、阑尾已切除的患者745例(男362例,女383例)。阑尾均作病检,以证实有无炎症。其中急性阑尾炎561例(75%),余184例阑尾外观正常;仅1例盲肠癌有急
The authors reported that of the 561 patients over 40 who had undergone appendectomy for acute appendicitis, 16 (2.9%) were referred for colorectal cancer within three years, and 38% had distant metastases. When acute appendicitis and colorectal cancer coexist, the latter may be overlooked and delay diagnosis and treatment. This article tries to discuss acute colorectal cancer as a sign of colorectal cancer and the simultaneous occurrence of the two diseases. Materials and Methods: 745 patients (362 males and 383 females) who had been over 40 years old from 1965 to 1978 and had had appendectomy were selected. All appendixes were examined for the presence of inflammation. Among them, 561 cases (75%) had acute appendicitis, and 184 cases of appendix had normal appearance; only 1 case had blindness.