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患者女,58岁,16年前因“多发子宫肌瘤”行子宫全切术,2周前体检发现直肠占位。外院肠镜:距肛门10 cm处可见约2 cm×1 cm糜烂型肿物,周边隆起,质地脆;病理活检示直肠黏膜慢性炎症,腺上皮有轻度异型增生。肛诊(KC位):距肛门8~9cm可触及一质硬肿块,凸入肠腔,肠腔稍狭窄,边缘不清,活动性可,无触痛、压痛,指套退出见暗红色血
Female patient, 58 years old, 16 years ago because of “multiple uterine fibroids” line hysterectomy, two weeks ago the physical examination found that the rectum. Outside the hospital colonoscopy: 10 cm away from the anus can be seen about 2 cm × 1 cm erosive tumor, the surrounding bulge, crisp texture; biopsy showed chronic inflammation of rectal mucosa, mild dysplasia of the glandular epithelium. Rectal examination (KC): 8 ~ 9cm away from the anus can reach a hard mass, protruding into the intestine, the intestinal lumen slightly narrow, unclear margin, mobility can be, no tenderness, tenderness, finger withdrawal see dark red blood