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1 病史资料 例1 患者,男,12岁,大便习惯改变伴血便1年余,开始出现大便次数增加,时有小腹胀感,便后大便外附有鲜血,无脓苔,半年前大便变形,便后带血伴粘液,有里急后重感,到几处医院均诊为“内痔出血伴感染”给药物治疗,效果不佳,来我院做直肠活检证实为“直肠腺癌”,予以行根治手术。术后病诊断:(950123)直肠壶腹部腺癌Ⅱ级,环状浸润溃疡型,围绕肠管1周,已侵及外膜层,肠系膜淋巴结(+)2/3。 例2 患儿,男,10岁,大便习惯改变伴脓血便半年余,开始没有引起注意,接着大便带有白苔,脓血性,粘液性,伴里急后重,渐消瘦,在当地医院按“红白痢疾”疗效不佳,到我院做直肠活检诊为直肠差分化癌予以行根治手术;病理诊断:(970463)直
A history of patients with data 1 cases, male, 12 years old, changes in bowel habits with bloody stool more than 1 year, began to stool frequency increased, when a small abdominal distention, then stool with blood outside, without pus moss, bowel deformation six months ago, After the blood with mucus, there are tenesmus, to several hospitals were diagnosed as “hemorrhoids infection with internal hemorrhoids” to the drug treatment, the effect is not good, to our hospital for rectal biopsy confirmed as “rectal adenocarcinoma”, to be radical surgery . Postoperative diagnosis: (950123) rectal ampulla adenocarcinoma grade Ⅱ, ring infiltration ulcer type, around the intestine for 1 week, has invaded and adventitia, mesenteric lymph nodes (2/3). Example 2 children, male, 10 years old, changes in bowel habits with pus and blood more than six months, began without attention, followed by stool with white moss, purulent, mucinous, with tenesmus, weight loss, at the local hospital according to “red and white Dysentery ”poor efficacy, to our hospital do rectal biopsy diagnosis of rectal cancer differentiated cancer radical surgery; pathological diagnosis: (970463) straight