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结肠癌误诊为阑尾炎不但贻误治疗时机,且增加患者痛苦,对此需引起注意。现报告我院16例误诊病例,借以总结经验教训。临床资料一、性别与年龄男10例,女6例,年龄最小22岁,最大66岁,40岁以上占75％。二、癌肿部位与病理癌肿位于盲肠5例,升结肠4例,肝曲结肠4例,横结肠1侧,乙状结肠2例。组织学类型:粘液腺癌5例,高分化腺癌11例。Dukes分期:C期10例,D期6例。三、临床症状特征右侧及右下腹痛16例,右腹部包块8例,腹胀10例,恶心呕吐、食欲不振8例,腹泻、脓血粘液便及柏油样便7例,乏力、消瘦,贫血13例,右下腹压痛16例。四、病程经过 16例术前均诊断为阑尾炎。5例行阑尾切除术同时发现结肠癌,11例阑尾切除后,历经10天～24月发现结肠癌而再手术。癌肿最大12
Misdiagnosis of colon cancer as appendicitis not only delays the timing of treatment, but also increases the suffering of patients. This requires attention. 16 cases of misdiagnosis in our hospital are reported to summarize lessons learned. Clinical data 1. Sex and age were 10 males and 6 females. The youngest was 22 years old, and the oldest was 66 years old, and 70% of those over 40 years of age. Second, cancerous location and pathological cancer in the cecum in 5 cases, ascending colon in 4 cases, 4 cases of liver colon, 1 side of the transverse colon, sigmoid colon in 2 cases. Histological types: 5 cases of mucinous adenocarcinoma, 11 cases of well-differentiated adenocarcinoma. Dukes staging: 10 cases in C phase and 6 cases in D phase. Third, the clinical symptoms of right and right lower abdominal pain in 16 cases, right abdomen mass in 8 cases, abdominal distention in 10 cases, nausea and vomiting, loss of appetite in 8 cases, diarrhea, pus and mucus pus and bloody stool in 7 cases, fatigue, weight loss, There were 13 cases of anemia and 16 cases of right lower quadrant tenderness. Fourth, the course of the disease after 16 cases were diagnosed as appendicitis. Five patients underwent appendectomy at the same time found colon cancer. 11 cases of colon cancer were reexamined after 10 to 24 months after appendectomy. Cancer 12