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題 名 | Abdominal Wall Abscess--An Unusual Primary Presentation of a Sigmoid Colon Carcinoma=腹壁膿瘍--乙狀結腸癌不常見的原始臨床表現 |
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作 者 | 金仁; 陳塗墻; 張宗泓; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
卷 期 | 9:1 1998.03[民87.03] |
頁 次 | 頁25-28 |
分類號 | 416.245 |
關鍵詞 | 腹壁膿瘍; 乙狀結腸癌; Abdominal wall abscess; Sigmoid colon carcinoma; |
語 文 | 英文(English) |
中文摘要 | 大腸直腸癌症的臨床表現非常的多樣化,有時會使得臨床醫師 ─ 時間不容易查 覺。尤其是一些病例以非典型的原始臨床症狀來表現時,常使得癌病因此未能儘早發現。 腹壁膿瘍在臨床上不難藉由病史,理學檢查及超音波而診斷出來。如果未能詳細探究膿瘍的 原因則很有可能延誤了癌病的診斷。超音波和電腦斷層都能確切的診斷出腹壁膿瘍,而電腦 斷層更能將膿瘍和腹內器官間的關係診查清楚,以確定造成膿瘍的原因。大腸直腸癌所引起 的腹壁膿瘍大多是因為癌腫引起的發炎反應使得腫瘤固著在腹壁,經形成�硎瑋q達腹壁後而 引起腹壁膿瘍。大腸直腸癌一經發現,多數的病例都能將癌腫及所侵犯的相關組織做廣泛的 治癒性手術切除。 |
英文摘要 | This report describes a case of sigmoid colon carcinoma that presented itself as an abdominal wall abscess as the primary clinical presentation. The clinical surgeon's judgment was interfered by the unusual presentation who initially ignored the latent malignancy. We present this rare occurrence and review previous literature to remind general surgeons to deal with these similar cases cautiously. Early diagnosis and adequate surgical intervention can lead to a potentially curable operation. |
本系統中英文摘要資訊取自各篇刊載內容。