原名「台灣學術線上」
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1
題名:Umbilical Metastasis-An Unusual Presentation of Colon Cancer: Report of two Cases and Review of Literature     (10點)
大腸癌以少見的臍部轉移來表現:兩個病例報告及文獻回顧
著者:Ting-Min Hsieh(謝廷旻) ;Cheuk-Kwan Sun(孫灼均) ;Hong-Hwa Chen(陳鴻華)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:colon cancer ; umbilical metastasis ; Sister Mary Joseph's Node
刊名:Formosan journal of surgery
卷期:43卷1期(2010.2)
頁碼:38-42
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

肝和肺是最常併發大腸癌轉移的器官,肚臍的轉移卻很少見,通常出現時腹內的惡性細胞都已經廣泛散佈,可經由開腹手術或影像學呈現瀰漫性的癌病變而證實。我們報告的兩例?大腸癌合併臍部轉移,並無其他器官的侵犯。其中一例在大腸切除一年半後產生了疼痛性的臍部結節,另一例則發現了臍部硬塊並與阻塞性乙狀結腸癌相關聯。兩者病理報告分析都呈現了大腸癌臍部皮膚轉移。所以當病人罹患大腸癌時仔細檢查臍部是有必要的,可以避免忽略掉臍部轉移而適時的提供早期的治療。
While the liver and lungs are the most common sites of metastasis from colon cancer, umbilical metastasis is rare. Usually this kind of metastasis becomes evident only when intra-abdominal malignancy is widespread with typical presentation of carcinomatosis demonstrated at laparotomy or on imaging study. We present two cases of colon cancer with umbilical metastasis without extensive dissemination. One patient developed a painful umbilical nodule 1.5 years after an uncomplicated colectomy. Another suffered an indurated umbilical nodule associated with an obstructive sigmoid colon cancer. Pathological analysis of these excised umbilical nodules both demonstrated cutaneous metastasis of colonic origin. Careful surveillance of the periumbilical region is indicated in patients with a colonic malignancy to avoid overlooking possible metastatic implants, in order to provide early curative treatment.


    

本卷期目次
Formosan journal of surgery 43卷1期 (2010.2)
Pathophysiological Factors Contributing to Keloid Formation/ Fa-Lai Yeh
Results of Unstable Peritrochanteric Fractures Treated with Dynamic Hip Screws (DHS) Fixation with or without Trochanter Stabilizing Plate (TSP) Augmentation/ Chun-Wei YewChun-Yu ChangPo-Wen Shen
Dexamethasone Combined with Morphine does not Decrease Postoperative Nausea and Vomiting in Patients Undergoing Thyroidectomy or Parathyroidectomy/ Jong-Yueh LinFong-Fu ChouTing-Lung LinKun-Chou HsiehYa-Ling Yang
Malignant Extrarenal Rhabdoid Tumors of the Omentum with Hemoperitoneum: Report of a Case/ Hui-Han LinShih-Chi WuRay-Jade ChenYu-Chiang Lin
Stab Wound in the Neck with Injury to the Cervical Cord and Ipsilateral Vertebral Artery: Report of a Case/ Da-Wei HuangKuo-Cheng HuangVong-Kuoy PhuongShih-Hahn Chen
Umbilical Metastasis-An Unusual Presentation of Colon Cancer: Report of two Cases and Review of Literature/ Ting-Min HsiehCheuk-Kwan SunHong-Hwa Chen
Primary Intraventricular Hemorrhage due to Rupture of Angiographically Occult Vascular Malformation: Report of a Case/ Yu-Kai ChengMing-Shian LuJen-Tsung YangMing-Hsueh LeeChen-Hsing SuTing-Chung Wang
First-line Therapy with Lapatinib (TykerbR) in Metastatic Breast Cancer that Progressed on Adjuvant Trastuzumab (HerceptinR) Treatment: Report of a Case/ Ya-Fen HsuFiona Tsui-Fen ChengYen-Kung ChenChin-Chu Wu
Arterial Switch Operation for Transposition of the Great Arteries/ Ing-Sh Chiu
 
   
 
   

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