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例1 男,61岁,间歇性粘液血便4个月,伴有低热,乏力。其他检查无异常,ECG及肝“B”超正常,大便检查可见大量红细胞及脓细胞,阿米巴滋养体及包囊阴性,肝肾功能正常,肛门指诊:距肛门上5 cm,可触及带蒂息肉状肿物15×1.5cm,光滑,弹力硬。活检病理诊断管状息肉。在鞍麻下经肛门局部肿物切除术,切除根部粘膜至肌层,间断缝合粘膜。术后病理诊断:直肠类癌(嗜银细胞癌)。术后恢复顺利,痊愈出院,随诊7年未复发。
Example 1 Male, 61 years old, with intermittent mucopuraemia for 4 months, with low fever and fatigue. No other abnormalities were detected. ECG and liver “B” were abnormally normal. A large number of red blood cells and pus cells were seen during stool examination. Amoebic trophozoites and cysts were negative. Liver and kidney functions were normal. Anal examination was 5 cm from the anus and palpable. Pedicle polypoid mass 15 × 1.5cm, smooth, elastic hard. Biopsy pathological diagnosis of tubular polyps. Under anesthesia, local anal resection of the anus, removal of the root mucosa to the muscle layer, intermittent suture mucosa. Postoperative pathological diagnosis: rectal carcinoid (argentine cell carcinoma). She recovered smoothly after surgery, he was discharged and she did not relapse after 7 years of follow-up.