结肠癌腹盆腔广泛转移姑息性化疗持续完全缓解1例报告
Journal of Chinese Oncology(2016)
Abstract
1 临床资料
患者女性,52岁,既往体健.因右下腹胀痛2周,于2014年9月查腹部超声示:肝内实质性占位病变,腹膜后多发肿大淋巴结,少量腹腔积液;CT示:升结肠周围及盆腔多发恶性转移瘤,腹腔及腹膜后多发淋巴结转移,肝内转移灶大小约4.0cm×35cm(Figure 1A1~C1);肠镜示:盲肠及回盲瓣对侧外压性隆起,升结肠起始段病变结合病理,考虑炎症,降结肠黏膜下肿物疑似;活检病理检查示:升结肠未见恶性证据,降结肠乳头状腺癌(Figure 2);CEA、CA125、CA19-9、AFP均正常;多次请妇科会诊,并行阴式超声检查排除卵巢癌,诊断:结肠癌并腹盆腔广泛转移.
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