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

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World Journal of Clinical Cases 2021年第26期9卷 7901-7908页

作者： Shang-Zhi Han Rong Wang Kun-Ming Wen Department of Gastrointestinal Surgery Affiliated Hospital of Zunyi Medical UniversityZunyi 563000Guizhou ProvinceChina

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

关键词： Delayed diagnosis Colorectal mucinous adenocarcinoma local abscess Case report

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