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目的:分析结肠低分化腺癌一例,为临床诊断提供必要参考依据。方法:根据患者病情症状,采用多排螺旋MX4000 CT对患者进行全身检查并结合常规检查结果,对所获CT图进行病理分析。结果:经肉眼检查及相关检查提示,确诊为结肠低分化腺癌,大小为3.5厘米×3.2厘米,侵全层;小肠、盲肠及部分粘连肠管组织均正常,上附阑尾、胆囊、两端切缘及结肠肠壁上粘连肝组织,均未见肿瘤组织;肝、胆、胰、脾经CT平扫均未见显著性异常情况。结论:对于不明原因的肠梗阻患者应警惕结肠低分化腺癌发生的可能性,建议早诊早治疗,有效控制病情的发展。
Objective: To analyze a case of poorly differentiated adenocarcinoma of the colon to provide the necessary reference for clinical diagnosis. Methods: According to the patients’ symptoms, the CT images of the patients were analyzed by pathology with multi-row spiral MX4000 CT and combined with routine examination results. Results: The macroscopic examination and related examination suggested that the diagnosis of poorly differentiated adenocarcinoma of the colon was 3.5 cm × 3.2 cm in diameter and infiltrated into the whole layer. The small intestine, cecum and part of the intestine were all normal. The appendix, gallbladder, Margin and colon intestinal wall adhesion of liver tissue, no tumor tissue; liver, gallbladder, pancreas, spleen by CT scan showed no significant abnormalities. Conclusion: For patients with unexplained intestinal obstruction should be alert to the possibility of poorly differentiated adenocarcinoma of the colon, early diagnosis and early treatment is recommended to effectively control the progression of the disease.