发烧是结肠癌病例中唯一出现的症状
Mohamad El Labban1, Ibtisam Rauf2, Mikael Mir3
1Internal Medicine, Mayo Clinic Health System, Mankato, USA.
Cureus
|October 30, 2023
概括
不知来源的发烧 (FUO) 可能是一个具有挑战性的诊断. 这一案例凸显了结肠癌仅以间歇性发烧的形式呈现一年的情况,强调了在FUO评估中需要考虑恶性病变的必要性.
科学领域:
- 内部医学 内部医学
- 在瘤学瘤学.
- 诊断方面的挑战
背景情况:
- 源不明发烧 (FUO) 的定义已经演变,目前定义为经过重大医疗接触后的诊断不确定性.
- 虽然感染在历史上是常见的原因,但进步使其更容易诊断.
- 与恶性瘤相关的FUO由于放射性诊断的改进而减少.
研究的目的:
- 报告一个独特的结肠癌病例,主要呈现为长期间歇性发烧.
- 为了强调在患有不明原因发烧的患者中考虑恶性瘤的重要性.
主要方法:
- 病例报告详细介绍患者的表现,诊断过程和治疗.
- 审查FUO不断变化的定义和病因.
主要成果:
- 一名患者呈现了一年的间歇性发烧病史作为唯一的症状.
- 被诊断出结肠癌,并在瘤切除后发烧消失.
- 这一案例说明了结直肠恶性瘤的非典型表现.
结论:
- 尽管医学取得了进展,但FUO仍然是一个诊断挑战.
- 临床医生必须保持对潜在恶性瘤的高度怀疑,包括结肠癌,在患有复发性发烧或FUO的患者中.
- 早期考虑恶性瘤可以导致及时诊断和治疗.
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