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Keywords bioinformatics breast cancer breast carcinoma cancer case report chemotherapy cisplatin epidemiology immunotherapy mutation non-small cell lung cancer omics oncology ovarian cancer prostate cancer radiotherapy rectal cancer survival targeted therapy therapy treatment
Home > Vol 2, No 4 (2016) > Liu

Analysis on misdiagnosed cases of right colon cancer as appendicitis

Abstract - 1298 PDF - 1364
Sijia Liu

Abstract


The aim of this case report is to investigate the causes of misdiagnosing right colon cancer as appendicitis, in order to reduce the misdiagnosis rate. The process of diagnosing and treating 44 misdiagnosed right colon cancer cases was analyzed. It was found that the right colonic lumen in these patients was thick, and their cancer consisted mostly of the ulcerative type or of a cauliflower-like tumor that protruded into the intestinal cavity. Moreover, ring-shaped and structured cancer was rarely observed, which suggested a decreased likelihood of obstruction. The patients showed limited peritoneal irritation signs in their right lower abdomen, which was also a potential cause for misdiagnosis. Right colon cancer associated with appendicitis is easily misdiagnosed as simple appendicitis, chronic appendicitis, or appendiceal abscess. Therefore, it is necessary to raise general awareness on the manifestations of the disease in order to exclude other common complications during diagnosis and to reduce the misdiagnosis rate. An accurate early diagnosis and treatment will improve patient prognosis.

Keywords


right colon cancer; misdiagnosis; appendicitis

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References


Cancer Facts and Figures 2016 [Internet]. Atlanta, Ga: American Cancer Society; 2016 [cited 2016 June]. Available from: http://www.cancer.org/acs/groups/con tent/@research/documents/document/acspc-047079.pdf


Ye HH, Deng XJ. Misdiagnostic analysis of colon cancer. J Curr Oncol 1994; 1(3): 197–199. doi: 10.16073/j.cnki. cjcpt.1994.03.019.


Kolligs FT. Diagnostics and epidemiology of colorectal cancer. Visc Med 2016; 32(3): 158–164. doi: 10.1159/ 000446488.


van Rossem, Bolmers MD, Schreinemacher MH, Bemelman WA, van Geloven, et al. Diagnosing acute appendicitis: surgery or imaging? Colorectal Dis 2016; Accepted manuscript online. doi: 10.1111/codi.13470.


Wang H. Analysis on causes of misdiagnosis of right colon cancer. J Med Forum 2011; 12: 78–79.


Buunen M, Veldkamp R, Hop WC, Kuhry E, Jeekel J, et al. Survival after laparoscopic surgery versus open surgery for colon cancer: long-term outcome of a randomized clinical trial. Lancet Oncol 2005; 6: 477-484. doi: 10.1016/ S1470-2045(05)70221-7.





DOI: http://dx.doi.org/10.18282/amor.v2.i4.51

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