中原医刊
中原醫刊
중원의간
CENTRAL PLAINS MEDICAL JOURNAL
2008年
8期
23-24
,共2页
直肠肿瘤%前列腺肿瘤%误诊
直腸腫瘤%前列腺腫瘤%誤診
직장종류%전렬선종류%오진
Rectal tumor%Tumor of prostate%Misdiagnosis
目的 分析直肠肿瘤误诊的原因及教训,提高临床医生对该病的认识水平与警惕性,以减少误诊的发生.方法 对16例外院误诊为前列腺肿瘤的直肠肿瘤病例的临床资料进行回顾性分析.所有病例入院后均行前列腺特异抗原测定(PSA),经直肠B超、CT或MRI及经直肠穿刺活检.12例行Miles手术,4例行肿块局部切除术.结果 16例患者均经手术证实为直肠肿瘤,其中直肠平滑肌瘤13例,直肠平滑肌肉瘤1例,直肠间质肿瘤2例.结论 部分直肠肿瘤与前列腺肿瘤在临床表现上相似.PSA、CT或MRI以及经直肠穿刺活检有利于鉴别诊断.手术切除是目前治疗的有效手段.
目的 分析直腸腫瘤誤診的原因及教訓,提高臨床醫生對該病的認識水平與警惕性,以減少誤診的髮生.方法 對16例外院誤診為前列腺腫瘤的直腸腫瘤病例的臨床資料進行迴顧性分析.所有病例入院後均行前列腺特異抗原測定(PSA),經直腸B超、CT或MRI及經直腸穿刺活檢.12例行Miles手術,4例行腫塊跼部切除術.結果 16例患者均經手術證實為直腸腫瘤,其中直腸平滑肌瘤13例,直腸平滑肌肉瘤1例,直腸間質腫瘤2例.結論 部分直腸腫瘤與前列腺腫瘤在臨床錶現上相似.PSA、CT或MRI以及經直腸穿刺活檢有利于鑒彆診斷.手術切除是目前治療的有效手段.
목적 분석직장종류오진적원인급교훈,제고림상의생대해병적인식수평여경척성,이감소오진적발생.방법 대16예외원오진위전렬선종류적직장종류병례적림상자료진행회고성분석.소유병례입원후균행전렬선특이항원측정(PSA),경직장B초、CT혹MRI급경직장천자활검.12례행Miles수술,4례행종괴국부절제술.결과 16례환자균경수술증실위직장종류,기중직장평활기류13례,직장평활기육류1례,직장간질종류2례.결론 부분직장종류여전렬선종류재림상표현상상사.PSA、CT혹MRI이급경직장천자활검유리우감별진단.수술절제시목전치료적유효수단.
Objective To analyze the cause of misdiagnose of rectal tumors and improve the diagnostic level. Methods A retrospective analysis was made 16 cases of rectum tumor misdiagnosed of prostate tumor by other hospital. All cases were treated with prostate special antigen (PSA) , rectal B - ultrasound, CT or MRI and rectal puncture biopsy. 12 cases were treated with Miles' operation and 4 cases was treated with tumor lo-cal resection. Results Rectum tumors in 16 cases were identified by operation. There were 13 cases rectal leiomyoma, 1 case rectal leiomyosarcoma and 2 cases rectal interstitial tumor. Conclusion Some rectal tumors are similar with prostate tumors in clinical syndrome. PSA, CT or MRI and rectal puncture biopsy are advanta-geous of differential diagnosis. Resection is an effective treatment currently.
