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患者女,63岁。腹部隐痛,便次增多,腹泻或便秘,肉眼观察有时候带黏液脓血便半年。于2003年8月20日入院,肠镜提示距肛门18cm处见边缘隆起,中央稍凹陷的不规则肿块,内镜尚可通过,随即内镜活检行病理检查,病理诊断为乙状结肠高-中分化腺癌。化验血清癌胚抗原(CEA)3μg/L(正常值<5μg/L),超声检查及CT未发现明显转移。于同年8月26日在全麻加硬膜外麻醉下行乙状结肠癌根治术。术后病理诊断为乙状结肠高-中分化腺癌,浸润深肌层,肠壁淋巴结未见转移癌。术后患者恢复良好,化疗6次。直至2012年8月6日因“右侧甲状腺肿块”住院治疗,查体:甲状腺右侧扪及4.0cm×3.0cm×3.0cm大小肿物,活动尚可。
Female patient, 63 years old. Abdominal pain, then increased, diarrhea or constipation, the naked eye sometimes with mucus pus and blood for six months. On August 20, 2003 admitted to the hospital, enteroscopy tip 18cm away from the anus see the edge of the uplift, the central slightly concave irregular mass, the endoscope can still pass, then endoscopic biopsy line pathology, pathological diagnosis of sigmoidal high - moderately differentiated Adenocarcinoma Serum carcinoembryonic antigen (CEA) 3μg / L (normal <5μg / L), ultrasound and CT did not find significant metastasis. On August 26 in the same year in general anesthesia plus epidural anesthesia downstream sigmoid colon cancer radical surgery. Postoperative pathological diagnosis of sigmoid colon high - moderately differentiated adenocarcinoma, deep myometrial invasion, no metastatic lymph nodes in the wall. Postoperative patients recovered well, chemotherapy 6 times. Until August 6, 2012 due to “right thyroid mass ” hospitalization, physical examination: palpable thyroid right palpable mass 4.0cm * 3.0cm * 3.0cm, activity is acceptable.