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目的为寻找早期诊断结肠癌的线索,分析结肠癌与阑尾炎的关系。方法回顾性总结结肠癌患者中合并阑尾炎者,并分析其临床特征。结果 59例结肠癌患者中合并阑尾炎者12例,其中急性阑尾炎4例,慢性阑尾炎8例,6例肿瘤位于回盲部,5例位于结肠肝曲,1位于结肠脾曲。结论阑尾炎,尤其是慢性阑尾炎,是右半结肠癌的常见表现之一。在临床上诊断阑尾炎,尤其是那些不典型的病例或慢性阑尾炎,应注意排除合并右半结肠癌的可能。
Objective To find out the clues of early diagnosis of colon cancer and analyze the relationship between colon cancer and appendicitis. Methods A retrospective review of patients with colon cancer combined with appendicitis were analyzed and their clinical features. Results Among the 59 patients with colon cancer, 12 were complicated with appendicitis. Among them, 4 were acute appendicitis, 8 were chronic appendicitis, 6 were located in the ileocecal region, 5 were located in colon and liver, 1 was in colon and splenic flexure. Conclusions Appendicitis, especially chronic appendicitis, is one of the common manifestations of right-sided colon cancer. In the clinical diagnosis of appendicitis, especially those atypical cases or chronic appendicitis, should be careful to rule out the possibility of merger of right colon cancer.