摘要
Abstract
Objective To investigate clinical features of youths with colorectal cancer so as to analyze misdiagnosis causes to improve treatment.Methods Clinical data of 15 misdiagnosed patients with colorectal cancer admitted during May 2013 and May 2016 was retrospectively analyzed.Results The misdiagnosis rate was 14.71% (1/102), and average misdiagnosed time was (4.52±0.84) d.Among the 15 patients, there were 3 patients misdiagnosed as having gastroenteritis, 2 as having intestinal obstruction, 2 as having colitis, 2 as having rectal polyps, 1 as having hemorrhoids, 1 as having bacillary dysentery, 1 as having gastroenteritis associated by cholecystolithiasis, 1 as having acute pancreatitis, 1 as having perianal abscess and 1 as having iron deficiency anemia.All patients were confirmed the diagnosis by sigmoid endoscopy, biopsy and anal examinations, and there were 8 patients with rectal cancer, 3 patients with sigmoid cancer, 2 patients with cecal cancer and 2 patients with ascending colon cancer.Elective surgery was performed for 8 patients, and the patients were discharged after conditions had improved;6 patients received conservative treatment, of which 3 patients died;1 patient refused treatment and discharged.All patients were followed up for 1-3 years, 1 patient died;3 patients had recurrence;other patients had good prognosis.Conclusion Clinicians should pay attention to youths with colorectal cancer, and understand the history, related examinations, diagnosis and treatment should be done in great detail so as to avoid misdiagnosis and mistreatment.关键词
结直肠肿瘤/青年人/误诊/胃肠炎/肠梗阻/结肠炎Key words
Colorectal neoplasms/Young adult/Misdiagnosis/Gastroenteritis/Intestinal obstruction/Colitis分类
医药卫生
