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患者女性,57岁,工人,1968年4月因头皮生长一花生米大小菜花状肿物,在外院作局部切除,术后病理报告为头皮鳞状细胞癌。15年后因月经量过多,在某省级医院诊断为功能性子宫出血。于1983年3月16日行子宫切除术,病理报告为子宫腺癌。术后二年患者因腹痛、大便频数带血、腹块,首次入我院治疗,于1985年3月2日剖腹探查,见结肠肝区有一5×6×7cm肿块,质硬、活动、无粘连,行右半结肠切除。病理报告为横结肠类癌,无淋巴结转移。三个月后再次出现腹痛及大便频数带血,保守治疗无好转再入我院,于1986年6月4日再次手术,见乙状结肠有一
The patient was a 57-year-old female worker. In April 1968, a peanut-like cauliflower mass was grown in the scalp. A local resection was performed in an external hospital. The postoperative pathology report was scalp squamous cell carcinoma. After 15 years due to excessive menstrual flow, a functional uterine bleeding was diagnosed in a provincial hospital. Hysterectomy was performed on March 16, 1983. The pathology report was uterine adenocarcinoma. In the second year after operation, the patient was admitted to our hospital for abdominal pain, frequent bowel movements with blood, and abdomen for the first time. On March 2, 1985, she underwent exploratory laparotomy. There was a 5×6×7cm mass in the liver area of the colon. Hard mass, activity, and no Adhesion, right colon resection. The pathology report was transverse colon carcinoid and no lymph node metastasis. Three months later, abdominal pain and bloody stools occurred again. Conservative treatment did not improve and re-entered our hospital. After reoperation on June 4, 1986, there was a sigmoid colon.