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结肠、直肠癌是消化道常见的肿瘤之一。早期症状多不明显,尤其结肠癌,尽管临床症状很轻,症状发生时间不长,其中42%X 线检查已属晚期。由于结肠解剖位置关系,当前对结肠癌的早期诊断尚存在一定的困难。我院1968年～1978年6月收治结肠癌42例,占同期结肠、直肠癌总数(42/158)的26.58%。42例中误诊手术18例,误诊率42.38%。本文对误诊原因及其如何诊断,复习文献进行讨论。
Colon and rectal cancer are one of the common tumors in the digestive tract. Most of the early symptoms are not obvious, especially colon cancer. Although the clinical symptoms are very light and the symptoms do not take long, 42% of the X-ray examinations are already advanced. Due to the anatomical position of the colon, there are still some difficulties in the early diagnosis of colon cancer. In our hospital from 1968 to June 1978, 42 cases of colon cancer were treated, accounting for 26.58% of the total number of colon and rectal cancer (42/158) in the same period. Among the 42 cases, 18 cases were misdiagnosed and the misdiagnosis rate was 42.38%. This article discusses the causes of misdiagnosis and how to diagnose them and reviews the literature.