結腸癌的罕見X光線徵象

THE UNUSUAL ROENTGENOLOGICAL MANIFESTATIONS IN COLON CANCER

陳培欽(Pei-Chin Chen) ； 王家槐(Jia-Hwia Wang) ； 姜仁惠(Jen-Huey Chiang)

《中華放射線醫學雜誌》 4卷2期 (1979/06) Pp. 134-140

摘要

榮民總醫院自民國64年至67年底為止，經雙重對比鋇劑灌腸X光檢查，復經病理證實為結腸腺癌者共254例。其中男生208例，女性46例；年齡分布主要在50至70歲之間，最年青者17歲；發生部位以乙狀結腸最多。依鋇劑灌腸X光檢查，狹窄型146例，息肉樣型66例、阻塞型42例。其中因腫瘤而導致穿孔者15例．病灶長度超過六公分者39例．因腫瘤而導致腸套疊者6例．局部膿腫者3例。由多個息肉轉變成腺癌者3例．體積小若息肉而病理證實為腺癌者4例，兩個部位同時發生腺癌者6例，盲腸或上行結腸癌侵犯終廻腸者亦有4例。

並列摘要

Double contrast barium enema is the most valuable method for diagnosis of colon cancer. Between 1975 and 1978, there were totally 254 cases including 208 cases in male and 46 cases in female filed in department of diagnostic radiology, of Veterans General Hospital who had performed double contrast barium enema examination before surgery and proved to be adenocarcinoma of the colon by pathology. Majority of colon cancer occurred between 50 and 70 years old, the youngest one was 17 years old. Sigmoid colon was the most favorite location in those cases. According to double contrast barium enema examination, colon cancer were divided into three types: annular, polypoid and complete obstruction. We had 146 cases annular type, 66 polypoid type and 42 obstructive type. A small proportionof colon cancer appeared with unusual roentgenological manifestations: 6 patients had multiple foci of colon cancer, 15 showed perforative lesions, 39 demonstrated long segmental involvement (6 cm or more), 7 adenocarcinomas of colon associated with polyps(4) or multiple polyposis (3), 6 cases of carcinoma of colon caused intussusception; 4 cases of carcinoma of proximal colon with terminal ileum invasion.