Delayed diagnosis of ascending colon mucinous adenocarcinoma with local abscess as primary manifestation: Report of three cases

作     者：Shang-Zhi Han Rong Wang Kun-Ming Wen 

作者机构：Department of Gastrointestinal SurgeryAffiliated Hospital of Zunyi Medical UniversityZunyi 563000Guizhou ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2021年第9卷第26期

页      面：7901-7908页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：Supported by the Science and Technology Fund Foundation of Guizhou,No.5733-053 the Science and Technology Fund Foundation of Zunyi City,No.69 

主　　题：Delayed diagnosis Colorectal mucinous adenocarcinoma Local abscess Case report 

摘      要：BACKGROUND Colorectal mucinous adenocarcinoma is a distinct subtype of colorectal adenocarcinoma that is not sensitive to chemotherapy and radiotherapy,and its prognosis is worse than that of nonmucinous *** diagnosis and aggressive surgical treatment may be the key to improving the prognosis of *** colon mucinous adenocarcinoma with the primary manifestation of a local abscess caused by non-intestinal perforation has never been ***,since the lumen of the ascending colon is large,and early stage ascending colon cancer lacks typical clinical manifestations,the diagnosis may be delayed *** herein report three cases of delayed diagnosis of colorectal mucinous *** SUMMARY We present three patients(two females and one male)with mucinous ascending colon mucinous adenocarcinoma with the primary manifestation of a local abscess(the right area of the lumbar spine,right groin,and lower right abdomen)caused by non-intestinal *** the initial clinical visit,the common causes of those abscesses,including spinal tuberculosis and urinary tract infection,were *** treatment of the abscess was through an incision and ***,the source of the abscess was not made clear,which led to an abscess recurrence and a delayed diagnosis of colorectal mucinous *** the patients were referred to our hospital,a definitive diagnosis of ascending colon mucinous adenocarcinoma was made with the help of tumor markers and colonoscopic *** of the delayed diagnosis of the disease,two patients(case 1 and case 2)missed the chance of surgery due to disease progression and died in a short follow-up *** case 3 underwent radical surgery for the tumor in the right colon and partial abdominal wall resection and achieved a better *** Abscesses in the right area of the lumbar spine,right groin,or right lower quadrant caused by non-intestinal perforation as the prima