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患者,男,67岁。于2007年4月因纳差、进行性消瘦至江门市中医院就诊行CT、ECT、肠镜等检查后诊断为结肠癌。2007年4月27日行结肠癌根治术,术后病理提示管状腺癌II级,部分淋巴结转移。2007年11月于该院行腹腔内化疗1疗程,后定期于该院复查未见肿瘤复发或转移。2010年11月复查肠镜示乙状结肠肿物,考虑肠癌术后复发,行结肠癌股息切除+空肠长短部分切除+肠粘连松解术,术后病理提示腺癌II级,淋巴结转移(3/5)。
Patient, male, 67 years old. In April 2007 due to anorexia, progressive weight loss to Jiangmen Hospital of Traditional Chinese Medicine CT, ECT, colonoscopy and other tests diagnosed as colon cancer. April 27, 2007 colon cancer radical surgery, postoperative pathology prompted tubular adenocarcinoma level II, some lymph node metastasis. November 2007 in the hospital intraperitoneal chemotherapy 1 course of regular review in the hospital no tumor recurrence or metastasis. In November 2010, the patients underwent colonoscopy for sigmoid colon mass resection and colon cancer recurrence was considered. Dividend exclusion of colon cancer + partial resection of jejunum + intestinal adhesion lysis were performed. Postoperative pathology suggested adenocarcinoma grade II and lymph node metastasis (3 / 5).