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Primary Signet-ring Cell Carcinoma of the Colon: A Case Report

大腸戒環狀細胞腺癌:個案報告

摘要


Colorectal cancer (CRC) is one of the leading causes of death in Taiwan. Histopathologically, most CRC subtypes are classified as adenocarcinomas, and primary signet-ring cell carcinoma (PSRCC), which accounts for <1% of all cases of CRC is rare. Moreover, endoscopic detection of PSRCC is challenging. Colonic PSRCC, which is usually diagnosed at an advanced stage, is highly aggressive and shows poor prognosis. In this case report, we describe a 48-year-old man who presented with progressive left lower quadrant pain and was diagnosed with PSRCC at the rectosigmoid junction.

並列摘要


大腸癌以腺癌為主要的病理型態,大腸戒環狀細胞線癌十分罕見,只佔大腸癌的不到百分之一;有界環狀細胞出現時,可視為預後不好的象徵,因為惡性度非常高,加上診斷時往往已經擴散轉移。本篇文章介紹一位48歲大腸戒環狀細胞線癌患者,其罕見的內視鏡發現,以及典型戒環細胞的病理學型態。

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