淋巴管炎性癌肿:右侧结肠腺癌的罕见表现

Thanka Johnson, Sangeeta Banik, Rajendran Shanmugasundaram, Shobana Ashok
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摘要

淋巴管炎癌转移是指癌症从原发部位扩散引起的淋巴管恶性浸润。我们报告了一例 40 岁女性的病例,患者右上腹痛 2 个月。计算机断层扫描显示结肠、盲肠和回肠末端壁弥漫性增厚,并伴有多个肿大的淋巴结。升结肠活检显示结肠粘膜高度发育不良。因此,进行了右半结肠切除术。组织病理学显示,该患者为中度分化的腺瘤样腺癌,伴有大面积淋巴管炎样癌变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lymphangitis carcinomatosis: A rare presentation in right sided colonic adenocarcinoma
Lymphangitis carcinomatosis is the malignant infiltration of lymphatic vessels because of the spread of cancer from a primary site. We present a case of a 40-year-old female with right upper abdominal pain for 2 months. Computed tomography revealed diffuse wall thickening of the colon, caecum, and terminal ileum with multiple enlarged lymph nodes. Biopsy of the ascending colon showed high grade dysplasia of colonic mucosa. Hence, proceeded with a right hemicolectomy. Histopathology showed moderately differentiated adenoma like adenocarcinoma with large areas of lymphangitis carcinomatosis like pattern.
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