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1 病例报告患者女性,64岁。间断性大便带血一年余,近期加重,伴有里急后重感,偶感左上腹疼痛。经肠镜检查确诊为直肠癌于1998—07—13入院。检查:距肛门6～7cm处直肠前壁可触及菜花样肿物,质硬易出血。脾脏增大,下极位于左锁骨中线,肋下20cm,无压痛。B超检查提示脾内实质性肿物,约4.3cm×4.1cm,边界欠规整,血常规:白细咆80×10~4/L,红细胞4.5×10~(12)/L,血红蛋白125g/L。临床诊断:直肠癌脾内转移。入院后4天行直肠癌切除从脾切除术。病理检查:距齿状线上5cm直肠前壁见一
1 Case Report Patient Female, 64 years old. Intermittent stool bloody more than a year, the recent increase, accompanied by tenesmus, feeling even left upper quadrant pain. Colonoscopy confirmed the diagnosis of rectal cancer in 1998-07-13 admission. Check: from the anus 6 ~ 7cm at the anterior rectal cauliflower palpable mass can be touched, the quality of hard bleeding. The spleen increases, the lower pole in the left clavicular midline, rib 20cm, no tenderness. B ultrasound examination showed that the splenic solid mass was about 4.3cm × 4.1cm, the border was irregular, the blood was 80 × 10-4 / L, the erythrocytes 4.5 × 10-12 / L, the hemoglobin 125g / L. Clinical diagnosis: spleen metastasis of rectal cancer. Rectal cancer resection from splenectomy 4 days after admission. Pathological examination: 5cm from the dentition line rectal wall see one