一例持续性腹和发烧的病例揭示了结肠直肠腺癌
Amber J Stout1, Michael Medina2, Brian Rios3
1School of Medicine, St. George's University School of Medicine, St. George's, GRD.
Cureus
|February 18, 2026
概括
结肠直肠癌 (CRC) 查的坚持率低于最佳水平. 这种病例突出了非典型的CRC呈现,强调对持续的胃肠道症状的警,即使没有典型的迹象,如直肠出血,以确保早期诊断.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 结肠直肠癌 (CRC) 在全球范围内对癌症死亡率做出了重大贡献.
- 查降低了CRC的发病率和死亡率,但依从性仍然不足.
- 非典型的表现可能会推迟诊断和治疗.
研究的目的:
- 呈现一种异常临床表现的结直肠癌病例.
- 为了强调在患有持续的,无法解释的胃肠道症状的患者中考虑CRC的重要性.
- 突出CRC查遵守方面的挑战.
主要方法:
- 一个50多岁的西班牙裔男性的病例报告.
- 详细的患者病史,包括缺乏先前查和家族癌症史.
- 临床表现,诊断调查,手术干预和病理发现.
主要成果:
- 确定了一个大,部分阻塞的脏曲质量与外壁延伸.
- 患者接受了扩展左侧大肠切除术,部分胃切除术和循环结节术.
- 病理学证实了低度结肠直肠腺癌.
结论:
- 不典型的表现,如左上象限疼痛没有直肠出血,可发生在结肠直肠癌.
- 怀疑的高指数对于诊断患有持续性胃肠道症状的患者的结肠直肠恶性瘤至关重要.
- 这一案例强调了改善查遵守和诊断警的必要性.
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