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患者,男,81岁。因右下腹痛2个月入院。查大便潜血(+),癌胚抗原35.8ng/ml。结肠镜示升结肠起始部见一隆起性病变,表面破溃,高低不平,触之易出血。腹部CT示回盲部占位伴肠周淋巴结肿大。患者身高158cm,体重58kg。完善相关检查后,于2016年6月20日行根治性右半结肠切除术,术中见肿瘤位于盲肠与升结肠之间,质硬,活动差,与侧腹壁中度粘连,未浸润浆膜层,系膜内未触
Patient, male, 81 years old. Right lower abdominal pain for 2 months admitted to hospital. Check stool occult blood (+), carcinoembryonic antigen 35.8ng / ml. Colonoscopy ascending colon see a protuberance of the initial lesion, ulcerated surface, rugged, easy to touch the bleeding. Abdominal CT showed ileocecal occupying with intestinal lymph nodes. Patient height 158cm, weight 58kg. Improve the relevant inspection, on June 20, 2016 underwent radical right colon resection, surgery see the tumor is located between the cecum and the ascending colon, hard, poor activity, and the side of the abdominal wall of moderate adhesions, uninjured serosa Layer, mesangial not touched