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題名 | Huge Secondary Colonic Adenocarcinoma Mimicking Primary Urinary Bladder Tumor=巨大乙狀結腸腺癌犯類似原發性膀胱腫瘤 |
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作者 | 吳教恩; 吳桂芳; 崔克宏; 廖宗琦; | 書刊名 | 臺灣癌症醫學雜誌 |
卷期 | 29:2 2013.06[民102.06] |
頁次 | 頁105-110 |
分類號 | 416.245 |
關鍵詞 | 結腸癌; 膀胱腺癌; 免疫組織化學染色; Colon cancer; Bladder adenocarcinoma; Immunohistochemistry; |
語文 | 英文(English) |
中文摘要 | 原發性膀胱腺癌與結腸癌侵犯膀胱有相似的臨床及病理特徵,免疫組織化學染色包 括 CK7,CK20,CDX2 和 β-catenin 用來區別於原發性膀胱腺癌及次發性結腸腺癌是必要 的,根據臨床症狀,影像學檢查,病理組織及免疫組織化學染色,和疾病病程全面整體 評估來做出準確的診斷是非常重要的。在這裡,我們提出了一個患者以血尿和下泌尿道 症狀為主要臨床表現,患者的初步臆測診斷是原發膀胱腺癌合併乙狀結腸侵犯,經過詳 盡評估,最後的診斷為乙狀結腸腺癌侵犯膀胱。 |
英文摘要 | Colon cancer secondarily involving the bladder shares similar clinicopathogical features with primary bladder adenocarcinoma. Immunohistochemical staining with CK7, CK20, CDX2 and β-catenin is essential to differentiate secondary colon adenocarcinoma from primary bladder adenocarcinoma. Comprehensive assessment of clinicopathological characteristics, including clinical symptoms, radiographic studies, histopathology, immunohistochemical staining and natural course of the disease is important for an accurate diagnosis. Here, we report on a patient presenting with hematuria and lower urinary tract symptoms. The initial clinical impression was primary bladder adenocarcinoma with invasion to the sigmoid colon. After comprehensive histopathological evaluation, the final diagnosis was sigmoid colon adenocarcinoma with invasion to the bladder. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。