Clinical Characteristics and Cause Analysis on Misdiagnosis of Colorectal Cancer in Elderly Patients
DU Juan
SONG Bin
QI Na
REN Ji-chen
Abstract：Objective To explore the features of misdiagnosed elderly rectal cancer patients ,to analyze the misdiag-nosis causes and precautionary measures. Methods Clinical data of 47 misdiagnosed elderly samples during December 2009 and January 2014 were retrospectively analyze. Results The average age was 78. 8 years, accompanied with many basic dis-eases. Clinical manifestations included:change of habit of bowel loosening, hematochezia and black stool. 3 patients had a-cute intestinal obstruction at onset and 2 patients had lumps in the left lower abdomen. They were diagnosed with operation or pathology. They had been misdiagnosed as enteritis (15 cases), hemorrhoids (14 cases), habitual constipation (7 cases), rectitis (6 cases), anal fissure (3 cases)and dysentery (2 cases) before admission to our hospital. In the follow-up study, 28 patients died during 12-36 months of follow-up and 1 year survival rate and 3 year survival rate was 57. 4% and 40. 4% re-spectively. Conclusion Improving the understanding of the disease, paying great attention to rectal touch and colonoscopy are essential to avoid misdiagnosis of rectal cancer.
Keywords：Rectal neoplasmsAgedMisdiagnosisColitisHemorrhoidsConstipationProctitisFissure in anoDysentery
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 55-57 )