Current diagnosis and management of XXXX : a single surgical unit's experience.

@entity1 @entity6628 @entity834 @entity353 @entity5 @entity294 @entity391 @entity2225 @entity177 @entity292 @entity490 @entity356
@entity292 ( @entity292 ) is associated with a variety of diseases, but in recent years it has most frequently been observed with @entity356 . The management of @entity5 lesions and optimal surgical treatment strategies remain controversial. In this study, we explore the clinical diagnosis and treatment of @entity292 by retrospectively analyzing the records of @entity292 @entity1 treated between August 2008 and February 2014. Three female @entity1 and one male @entity1 with an average age of 61 years were diagnosed with @entity292 caused by @entity5 during this period. The predominant symptoms were @entity294 , @entity391 , @entity353 , and @entity490 . Gastrointestinal contrast series combined with fiber endoscopy was the most accurate method of diagnosing the @entity292 , while CT and MRI were helpful in identifying the extent of @entity5 invasion and evaluating the possibility of en-bloc resection. Pathological and immunohistochemical tests, including staining for @entity2225 , CK-7, and @entity6628 , suggested that three cases originated in the colon and one case in the stomach. All four cases underwent single-stage en-bloc fistula resection; two severely malnourished @entity1 received concurrent colostomies. One @entity1 died of postoperative @entity834 and @entity177 , but the remaining three @entity1 were discharged in improved condition. En-bloc resection followed by adjuvant chemotherapy can result in long term survival. Gastrointestinal contrast series combined with fiber endoscopy showed high sensitivity in the diagnosis of @entity292 . Immunohistochemical staining can be conducted for @entity5 with an unclear source. Single-stage radical en-bloc fistula resection is the recommended surgical treatment, and concurrent colostomy should be considered in severely malnourished @entity1 .
