DELAY IN THE DIAGNOSIS AND PROGNOSIS OF CARCINOMA OF THE RIGHT COLON
DELAY IN THE DIAGNOSIS AND PROGNOSIS OF CARCINOMA OF THE RIGHT COLON
复制标题
DOI：
10.1002/bjs.1800801037
复制
发表时间：
1993-10-01
影响因子：
9.6
通讯作者：
IRVIN, TT
中科院分区：
文献类型：
--
作者：
GOODMAN, D;IRVIN, TT
在152例连续患有右结肠癌的患者中，61例（40%）在出现症状后延迟治疗超过12周，平均延迟48周。最常见的错误是未能启动或完成缺铁性贫血的调查（33例）。钡灌肠假阴性16例。延迟诊断的患者与早期诊断的患者生存率无显著差异。31例无腹部症状的贫血患者的生存率明显高于30例有腹部症状的患者，尽管治疗延迟（P < 0-02）。在调查缺铁性贫血患者时需要提高警惕。
Of 152 consecutive patients with carcinoma of the right colon, 61 (40 per cent) suffered delays in treatment of more than 12 weeks from the onset of symptoms, with a mean delay of 48 weeks. The most common error was failure to initiate or complete the investigation of iron-deficiency anaemia (33 patients). False-negative barium enema investigations occurred in 16 cases. Patients with delays in diagnosis had survival rates not significantly different from those who presented early. Thirty-one patients with anaemia and no abdominal symptoms had a significantly higher survival rate than 30 presenting with abdominal symptoms, despite delays in treatment (P < 0-02). Greater vigilance is required in the investigation of patients presenting with iron-deficiency anaemia.