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頁籤選單縮合
題名 | Adenocarcinoma of the Colon in Children Presenting as Abdominal Pain: Report of Two Cases=以不明原因腹痛表現之小兒大腸腺癌--二病例報告 |
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作者姓名(中文) | 施相宏; 盧宗慶; 刁茂盟; 高常發; 莊錦豪; | 書刊名 | 長庚醫學 |
卷期 | 25:5 2002.05[民91.05] |
頁次 | 頁349-354 |
分類號 | 417.6244 |
關鍵詞 | 兒童; 不明原因腹痛; 大腸腺癌; Children; Abdominal pain; Colon adenocarcinoma; |
語文 | 英文(English) |
中文摘要 | 大腸腺癌在小於三十歲年紀的病人是少見的疾病。因為容易忽略它的發生所以常常發現時已是疾病後期併發嚴重症狀表現,特別是兒童期大腸腺癌。本文報告二例罹患大腸腺癌的青少年,他們最初都以不明原因腹痛或非特異腹部症候表現;除了一個病人有貧血症外,其他實驗室檢驗如糞便常規檢查並無異常。經由超音波和鋇劑檢查而發現大腸病灶,大腸鏡病理報告確診指出為大腸黏液腺癌,尤其第一例病人更為罕見的同時發現升結腸內有二個分別的腫瘤。治療方法包括手術和輔助的化學治療,案例一因早期腫瘤復發,案例二因無法開刀切除而最終死亡。小兒大腸黏液腺癌臨床上高度惡性,早期診斷不易。本文將就兒童大腸癌的臨床表現,診斷和治療作一探討。 |
英文摘要 | Adenocarcinoma of the colon is an unusual disease in patients under 30 years of age, and generally presents as advanced disease because of a lack of awareness of its occurrence, especially in the pediatric age group. The authors report on 2 cases of colon cancer in children less than 17 years old, whose initial presentations were abdominal pain of unclear etiology and non-specific abdominal complaints. No other abnormal laboratory results were found except that 1 patient had anemia. Barium studies revealed the typical colon lesions in both patients, and colonoscopic pathologic examination disclosed mucinous adenocarcinoma. The first patient was rather unusual in that 2 separate tumors were found simultaneously in the large intestine. The therapeutic approach included surgery and adjuvant chemotherapy, but both patients ultimately died due to poor response and early recurrence. Survival obviously depends on the extent of the disease at diagnosis; the earlier the diagnosis is, the better the prognosis will be. Clinical characteristics, diagnosis, and treatment of colon cancer in pediatric patients are discussed. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。