Multiple soft tissue cysticercosis systemic calcified nodules in 1 case.doc

 PAGE \* MERGEFORMAT 5 Multiple soft tissue cysticercosis systemic calcified nodules in 1 case [Keywords:] colon, retrograde transfer A medical record Patients, female, 60 years old. 4 years for anal tumor 3 years of pain with radiation treatment of perianal .4 years ago in a major hospital-line colon cancer resection pathology reports differentiated adenocarcinoma of the sigmoid colon, invasion of serosa layer, no lymph node metastasis. postoperative chemotherapy. surgery patients that found the left side of 3 cm perianal knee chest position 9:00 soybeans at the size of a tumor, located in the subcutaneous, hard, this surgery doctor, considered as “small cyst” , were not seriously. then grew large, about 0.5 cm 0.6 cm size, re-referral, doctors considered “fibroids” were not treated tumor continued to grow, and the emergence of multiple nodules, tough texture, hard, gradually for the integrated, activity difference. perianal swelling after one year, as tingling, radiation to the perineum, no tenderness, supine 5 ~ 6 min pain relief. recent mass increases significantly, and frequent pain episodes Each episode is about 40 min time, stool frequency increased from 2 to 4 times / d, 10 months before the trip report anal anal ultrasonography tumor left hypoechoic soft tissue masses. not significantly reduce the incidence of weight. examination: general can, head, neck, heart, lung without exception, no enlargement of liver and spleen. knee-chest position anal smooth appearance, 9 points 2 ~ 5 cm from the anus can reach a number of quality hard nodules, activity is poor, the deeper the location , tenderness not obvious, about the size of goose eggs, digital rectal examination: rectal wall smooth, anal the left size of 5 cm 6 cm mass, hard, tenderness not obvious, the activity difference, the line e-colonoscopy: rectal wall smooth and mucosal integrity, a clear structure, the left rectal wall tumor cavity pressure, colon anastomosis from the anal verge 8 cm