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大腸癌的發生年齡層有逐漸年輕化的趨勢!苗栗大千綜合醫院近日連續出現兩起年輕人大腸癌阻塞腸道的案例,初期皆無症狀,等到開始脹痛不適時,已為大腸癌第三期,外科主任馮啟彥醫師提醒,平日要有警覺性,若出現大腸癌相關症狀,一定要盡速就醫。
兩起年輕人大腸癌阻塞腸道的案例分別為,第一例是卅三歲的男子,平日以外食為主,且長期抽菸,數日前開始腹脹、腹痛,但無明顯血便,到急診就醫時,已出現腸道完全阻塞、腹脹嚴重及嘔吐現象,經電腦斷層掃描後發現為一個六公分大的乙狀結腸腫瘤阻塞腸道,經馮啟彥主任施行腹腔鏡手術切除後,證實為第三期的大腸癌,目前接受化療,復原狀況良好。
第二個案例是廿八歲的男子,平日不抽菸、不喝酒且重視養生,過去幾個月因為腹脹、腹痛在北部兩家醫院來回就診十一次,甚至到大千急診前一星期,才剛從北部醫院住院五天治療,但卻都被當成腸胃炎的狀況處理。直到因腹痛難耐,被送至大千急診時,已腹脹痛到呈現腹膜炎現象,電腦斷層掃描發現,一樣是乙狀結腸巨大腫瘤壓迫阻塞腸道,施行腹腔鏡手術順利切除大腸腫瘤,因為第三期大腸癌,目前也在接受化療中。
馮啟彥主任表示,大腸癌若發生在右側常出現血便,左側則較容易腸阻塞,狀況較不同,現今大腸癌多數都可採用微創手術切除,傷口小且復原快。近年因食安風暴的關係,大腸癌的罹患年齡層已經越來越年輕化,且初期都沒有特別症狀,因此平日裡要留意大腸癌的相關症狀,才能早期診斷、早期治療。

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The age of colorectal cancer is gradually becoming younger! Miaoli Daqian General Hospital recently appeared two cases of young people with colorectal cancer obstructing the intestines. They were asymptomatic at the beginning. When the pain began to be uncomfortable, it was already the third stage of colorectal cancer. Surgery director Feng Qiyan reminded that it should be alert on weekdays. If you have symptoms related to colorectal cancer, be sure to seek medical attention as soon as possible.
Two cases of colorectal cancer obstructing the intestines in the young people, the first case is a three-year-old man who is mainly on a regular basis and has long-term smoking. He started abdominal distension and abdominal pain a few days ago, but he did not have obvious bloody stools. He went to the emergency department for medical treatment. At the time, there was a complete obstruction of the intestine, severe abdominal distension and vomiting. After a computed tomography scan, it was found to be a six-cent sigmoid colon tumor obstructing the intestine. After laparoscopic resection by Director Feng Qiyan, it was confirmed as the third intestine. Cancer, currently receiving chemotherapy, is in good recovery.
The second case is an eight-year-old man who does not smoke, drink or pay attention to health during the week. He has visited the two hospitals in the north for eleven times in the past few months because of abdominal distension and abdominal pain, even one week before the emergency. He was hospitalized for five days from the northern hospital, but was treated as a gastroenteritis condition. Until the abdominal pain was unbearable, when he was sent to the emergency clinic, he had abdominal pain and painfulness. The computed tomography scan showed that the sigmoid colon was forced to block the intestine, and laparoscopic surgery was performed to remove the large intestine tumor because of the third colorectal cancer. Currently, it is also undergoing chemotherapy.
Director Feng Qiyan said that if colorectal cancer occurs on the right side, bloody stools often appear on the left side, and the left side is more likely to be blocked by the intestines. The situation is different. Most of the colorectal cancers can be removed by minimally invasive surgery, and the wounds are small and quick to recover. In recent years, due to the relationship between food safety storms, the age of colorectal cancer has become younger and younger, and there are no special symptoms in the early stage. Therefore, it is necessary to pay attention to the symptoms related to colorectal cancer on weekdays in order to diagnose and treat early.


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