Is colon cancer misdiagnosed as appendicitis

summary

Uncle always feels abdominal pain for no reason recently. I heard that it is likely to be colon cancer, but I heard that the probability of misdiagnosis of colon cancer as appendicitis seems to be quite high. Let me talk about the high probability of misdiagnosis of colon cancer as appendicitis.

Is colon cancer misdiagnosed as appendicitis

First, it accounts for about 10% of the misdiagnosed cases. Ileocecal cancer is often diagnosed as appendicitis due to local pain and tenderness. Especially for advanced ileocecal cancer, local necrosis, ulceration and infection often occur. The clinical manifestations include elevated body temperature, increased white blood cell count, local tenderness or touching mass. Appendiceal abscess is often diagnosed and conservative treatment is adopted. After a period of treatment, the mass did not shrink or even increase, so the tumor was considered.

Second: General appendiceal abscess seriously ask history, have acute onset process, inflammatory performance, after short-term treatment and observation can often significantly improve. If the cancer coexists with appendicitis or the appendicitis is caused by the obstruction of the appendix caused by the cancer, although the treatment is improved, it will not be complete. If the disease continues to worsen after stopping the drug, further examination and diagnosis are needed.

Third: Patients with appendicitis, if the condition is still repeated after treatment, especially those with unexplained abdominal pain, low fever, anemia, intestinal obstruction, wound nonunion and fistula formation, should be highly suspected of colorectal cancer, and should go to the hospital for fiber colonoscopy and other related examinations as soon as possible. Because, colorectal cancer is likely to disguise as appendicitis, resulting in misdiagnosis and mistreatment.

matters needing attention

The symptoms of colon cancer and appendicitis do have some similarities, especially in the early stage of colon cancer, it is very easy to be misdiagnosed as appendicitis, which needs to improve the level of doctors and equipment, the probability of misdiagnosis is about 10%.