多学科协作治疗T_4N_(1c)M_1期结肠癌一例
摘要
一、病例介绍 女性患者,55岁。主诉:因“体检发现肝多发占位1周”于2011年10月至我院就诊。该患者既往体健,否认肝炎、高血压及心脏病等慢性病史,否认家族性遗传病史。婚育史:已婚,育1子。体检:PS评分0分,浅表淋巴结无肿大,腹部查体未发现明显阳性体征。辅助检查:血常规、肝肾功能无明显异常,乙肝表面抗原阴(-),肿瘤标志物:CEA 为781.4 ng/ml,AFP为1.5 ng/ml,CA19-9为287 ng/ml。腹部CT、MRI和PET/CT检查示:结肠局部肠壁增厚,肠周多发性小淋巴结,肝内多发性低密度灶。结肠镜检查示:距肛缘35 cm处占位,肿物占肠腔一周,内镜不能通过,活检病理示:腺癌。基因检测为K-ras和B-raf基因均为野生型。
出处
《中华结直肠疾病电子杂志》
2014年第1期42-43,共2页
Chinese Journal of Colorectal Diseases(Electronic Edition)
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