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本文报告一例骶尾部脊索瘤手术切除后应用放疗引起大肠的临床和病理改变。 病历摘要 患者51岁,女性。骶尾部肿块七年,逐渐长大伴疼痛,排便困难和大便变形一年。查体:肿块体积为22×20×12cm。X线照片呈第三骶骨以下的骨质溶骨性破坏。于1983年行肿块切除术。病理诊断为脊索瘤。术后用~(60)Co放疗一个疗程,总剂量4000rad。一年后复发,再次切除肿块,病理证实为脊索瘤。再给~(60)Co一疗程,总剂量同上。第二次放疗后5
This article reports on the clinical and pathological changes of the large intestine caused by radiotherapy after surgical resection of the sacrococcygeal appendix. Medical record summary The patient is 51 years old and female. The masses of the sacrococcygeal endings are seven years old, gradually growing up with pain, defecation difficulties and stool deformation for one year. Physical examination: The mass was 22 x 20 x 12 cm. An X-ray photograph shows osteolytic destruction of the bone below the third metatarsal. The lumpectomy was performed in 1983. The pathological diagnosis was chordoma. After a course of treatment with ~(60)Co radiotherapy, the total dose was 4000 rad. After a year of recurrence, the tumor was resected and histopathology was confirmed as chordoma. Give ~(60)Co for one course of treatment. The total dose is the same as above. After the second radiotherapy 5