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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Primary linitis plastica carcinoma of the colon accompanied by peritoneal abscess.
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Primary linitis plastica carcinoma of the colon accompanied by peritoneal abscess.

机译：原发性结肠神经胶质炎伴腹膜脓肿。

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摘要

We describe the case of a 75-year-old woman with linitis plastica carcinoma of the colon, accompanied by a peritoneal abscess, in which the use of transabdominal sonography enabled prompt detection and diagnosis. Sonographic examinations revealed diffuse wall thickening with blurred layer stratification in the ascending colon. The irregular outer margin of the affected area was surrounded by thickened pericolic fat. A peritoneal abscess covered by the omentum was also found. CT confirmed these findings. We extensively resected the right half of the colon. Histopathologic examination of the excised segment of the colon revealed a poorly differentiated adenocarcinoma with fibrotic infiltration. The patient was discharged 6 weeks postoperatively, and chemotherapy was begun, but she was lost to our follow-up. Although linitis plastica carcinoma of the colon is rare, it must be considered when patients have extensive colonic wall thickening with blurred layer stratification and an irregular outer margin surrounded by thickened pericolic fat. Transabdominal sonography should be considered the imaging modality of choice for the detection and diagnosis of this disease entity.
机译：我们描述了一个75岁的妇女，患有结肠可塑性胶质细胞癌，并伴有腹膜脓肿，其中使用经腹超声检查可以迅速发现和诊断。超声检查发现升结肠中弥漫性壁增厚，层模糊分层。患处的不规则外缘被稠化的周脂肪包围。还发现了被大网膜覆盖的腹膜脓肿。 CT证实了这些发现。我们广泛切除了结肠的右半部分。结肠切除部分的组织病理学检查显示低分化腺癌伴纤维化浸润。该患者术后6周出院，开始了化疗，但她没有得到我们的随访。尽管结肠的线性神经胶质瘤很少见，但当患者的结肠壁广泛增厚，层层分层模糊，外缘被不规则的外围脂肪包围时，则必须考虑。经腹超声检查应被认为是检测和诊断该疾病实体的影像学手段。

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