Relapsed Colon Cancer Patient Presenting with Hematuria 13 Years after Primary Tumor Resection: A Case Report

大腸癌手術後十三年發生復發是非常罕見的病例，通常大腸癌手術後會在三年內復發，而於手術五年後再復發的機率只有5-7%，手術後超過十年再發的機率更是少數。在此我們報告一名72歲男性大腸癌病患，在切除手術十三年後復發，因血尿到診所就診，後有血便情形。理學檢查時發現下腹部正中央處有一個壓痛的硬塊，經由電腦斷層檢查發現一腫瘤附著於遠端空腸壁與膀胱壁外，血清胚胎抗原指數高達32ng/dL。經由手術切除病灶後病理組織報告證實為再發性大腸癌侵犯空腸與前腹壁。

關鍵字

大腸癌；血尿；復發間隔時間

並列摘要

We report a rare case of postoperative colon cancer recurrence who presented with hematuria 13 years after resection of the primary colonic cancer. The patient was 72 years of age and underwent surgical resection of sigmoid colon cancer at another regional hospital in 1994. Since June 2007, this patient has complained of hematuria and bloody stool. On physical examination, tenderness and a hard, indurated mass was palpable in the lower mid-abdomen. Abdominal computed tomography showed a metastatic tumor at the lower midline peritoneum with invasion of the adjacent abdominal wall. Her serum carcinoembryonic antigen level was elevated to 32 ng/dL. Histopathology revealed metastatic colonic adenocarcinoma in the jejunum and abdominal wall.

並列關鍵字

colon cancer ； hematuria ； recurrent interval

國際替代計量

Relapsed Colon Cancer Patient Presenting with Hematuria 13 Years after Primary Tumor Resection: A Case Report

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