2008-07-14

The differential diagnosis of colorectal cancer

(1) Hemorrhoid: rectal cancer is often mistaken for hemorrhoids, and more generally for hemorrhoids painless bleeding, fresh color is not mixed with feces and blood in the stool of patients with colorectal cancer is often accompanied mucus and rectum stimulate the symptoms, sigmoid colon and rectal examination - Examination can be identified.
(2) amebic colitis: When evolved into a chronic disease, ulcers at the bottom of granulation tissue proliferation and proliferation around the fibers so that the bowel wall thickening, mesocaval narrow, easily misdiagnosed as cancer, the biopsy should be made at this time.

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(3) intestinal tuberculosis: age of onset lighter, more than any other organ past history of tuberculosis, on the back to the good of the Blind. However, proliferative intestinal tuberculosis, because a large number of tuberculous granuloma and fibrous tissue proliferation, the intestinal wall thickening, hardening, easily confused with blind colorectal cancer, a biopsy must be a clear diagnosis, x-barium examination, the lesion can be found Jire phenomena or jumping phenomenon, in the diagnosis of help.
(4) limitations enteritis: occurs in young people, a common abdominal pain, diarrhea, fever, weight loss, anemia, anorexia, nausea, vomiting, abdominal mass and fistula formation, and other symptoms and signs, the x barium meal and fiber colon Mirror can be identified.
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(5) chronic bacillary dysentery: The patient may be in the abdominal pain, diarrhea, it rarely Nongxue, mild Lijihouchong, the stool culture, barium enema and endoscopy, it is not difficult to make the diagnosis.
(6) ulcerative colitis: Posi symptoms of chronic bacillary dysentery, but there are recurrent history of negative stool culture, sigmoid colon examination that was fine granular mucosal changes, vascular texture disappeared, with red and oval-shaped congestive small ulcer, Regular review of its surface with the yellow and white exudation of serious cases of irregular large ulcers.
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(7) Other: If Hua Liu of the lymphatic granuloma, rectal endometriosis, Yandeng colonic diverticulitis, with symptoms and signs, x-check and fiber colonoscopy form of Kam.