A case of stoma tumour with synchronous liver metastasis after transabdominal perineal radical resection for rectal cancer and review of literature
作者:李璇1,陈钰榕1,陈志强2,邹瞭南3,4
单位:1.广州中医药大学第二临床医学院研究生,广东 广州 510120;2.广东省中医院泌尿外科,广东 广州 510120;3.广东省中医院肛肠外科,广东 广州 510120;4. 广州中医药大学第二临床医学院,广东 广州 510120
Authors: Li Xuan1,Chen Yurong1,Chen Zhiqiang2,Zou Liaonan3,4
Unit: 1. Postgraduate of the Second
Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120,
Guangdong, China;2. Department of Urology Surgery, Guangdong
Hospital of Traditional Chinese Medicine, Guangzhou 510120, Guangdong, China;3. Department of Anorectal Surgery, Guangdong Hospital of
Traditional Chinese Medicine, Guangzhou 510120, Guangdong, China;4. The Second Affiliated Hospital of Guangzhou University of Chinese
Medicine, Guangzhou 510120, Guangdong, China
摘要:
目的 本文探讨异时性结肠造口处肿瘤的临床特点及诊治过程,为特殊部位的异时性结直肠癌的诊治提供临床经验。方法 回顾性描述1 例低位直肠癌经腹会阴联合切除术后10年,出现造口处肿瘤的临床病例,并进行相关文献复习。结果 结合患者病史、症状、体征及辅助检查,考虑患者造口处肿瘤是由于造口护理不当、肠道分泌物及粪便反复污染刺激所致。患者的自身免疫系统疾病也是潜在病因。我们采取造口肿瘤及周围皮肤的根治性切除术,术后至2023年8月9日未见疾病进展征象。结论 对于特殊部位的异时性结直肠癌,其诊疗方式更趋向于个体化,尚未能形成规范的治疗方案,定期规律监测随访是早发现早诊治的有效途径,是减少全身转移风险、提高R0切除机会的可靠方法。
关键词:
造口肿瘤;直肠癌根治术;异时性肿瘤;病例报道
Abstract:
Objective
This
paper discusses the clinical characteristics and diagnostic and treatment process
of tumours at metachronous colostomies to provide clinical experience for
metachronous colorectal cancer at special sites. Method A clinical case of a patient presenting with
tumour at the stoma 10 years after combined transabdominal perineal resection
for low rectal cancer was retrospectively described, and relevant literature
review was performed. Result Combining
the patient's medical history, symptoms, signs and auxiliary examinations, it
was considered that the tumours at the patient's stoma were due to improper stoma
care and stimulation by repeated contamination with intestinal secretions and
faeces. The patient's autoimmune system disease was also identified as a
potential cause. Following the radical resection of the stoma tumours and
surrounding skin, no signs of disease progression have been observed from
post-operation to August 9, 2023. Conclusion The diagnosis and treatment of metachronous
colorectal cancer at special sites tends to be more individualised, and no
standardised treatment plan has been formed yet. Regular monitoring and follow-up are effective ways for early detection and diagnosis and treatment, which
is a reliable method to reduce the risk of systemic metastasis and improve the
chance of R0 resection.
Key Words: Stoma tumour;Radical resection of rectal cancer;Metachronous
cancer;Case report
注:网络优先发布
上一篇:2024年第16卷第1期 目录
下一篇:暂无下一篇
关注我们