Radiation Oncology, Chulolongkorn University : Clinical Features

Radiation Oncology Chulolongkorn University

Clinical Features

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1. Right Colon Cancer à¹×èÍ§¨Ò¡àÇÅÒ·ÕèÍØ¨¨ÒÃÐ¼èÒ¹¨Ò¡ Ileocecal Valve ÁÒ·ÕèÅÓäÊéãËè«Õ¡¢ÇÒ ÍØ¨¨ÒÃÐ¨ÐÂÑ§ÍèÍ¹µÑÇÍÂÙè ·ÓãËéÊÒÁÒÃ¶¼èÒ¹ºÃÔàÇ³ÃÍÂâÃ¤·Õè¡éÍ¹ÁÐàÃç§ÍÂÙèä»ä´éÊÐ´Ç¡ ¨Ö§äÁè¤èÍÂ¾ºÍÒ¡ÒÃ¢Í§¡ÒÃÍØ´µÑ¹¢Í§ÅÓäÊéãËè¨Ò¡¡éÍ¹ÁÐàÃç§ ¹Í¡¨Ò¡¹ÕéàÊé¹¼èÒÈÙ¹Âì¡ÅÒ§¢Í§ÅÓäÊéãËè«Õ¡¢ÇÒÂÑ§ÁÕ¢¹Ò´ãËè¡ÇèÒÅÓäÊéãËè«Õ¡«éÒÂ ÁÐàÃç§·Õèà¡Ô´¢Öé¹ã¹ºÃÔàÇ³¹Õé¨Ö§ÊÒÁÒÃ¶à¨ÔàµÔºâµä´éÁÒ¡ â´Â·ÕèäÁè·ÓãËé¼Ùé»èÇÂÁÕÍÒ¡ÒÃ¢Í§¡ÒÃÍØ´µÑ¹ËÃ×Í¤ÇÒÁ¼Ô´»¡µÔ¢Í§¡ÒÃ¢Ñº¶èÒÂ (ÚBowel Habit Change) ÃÍÂâÃ¤ºÃÔàÇ³¹ÕéÁÑ¡¨Ðà¡Ô´¨Ò¡¡ÒÃ·Õè¡éÍ¹ÁÐàÃç§ÁÕ¡ÒÃáµ¡à»ç¹á¼Å (Ulcer) à¡Ô´¡ÒÃàÊÕÂàÅ×Í´·ÕÅÐ¹éÍÂ ¨¹à¡Ô´ÍÒ¡ÒÃ¢Í§âÃ¤âÅËÔµ¨Ò§ä´é áÅÐÁÒËÒá¾·Âì´éÇÂÍÒ¡ÒÃ¢Í§âÃ¤âÅËÔµ¨Ò§
àªè¹ ÍèÍ¹à¾ÅÕÂ ã¨ÊÑè¹ äÁèÁÕáÃ§ «Õ´ à»ç¹µé¹ ¡ÒÃµÃÇ¨·Ò§ËéÍ§»¯ÔºÑµÔ¡ÒÃÍÒ¨¾ºËÃ×ÍäÁè¾ºàÅ×Í´ã¹ÍØ¨¨ÒÃÐ (Stool Occult Blood) ¡çä´é à¾ÃÒÐàÅ×Í´·ÕèÍÍ¡¨Ò¡¡éÍ¹ÁÐàÃç§ÍÒ¨à¡Ô´¢Öé¹à»ç¹¤ÃÑé§¤ÃÒÇäÁèä´éà»ç¹ÍÂÙèµÅÍ´àÇÅÒ ´Ñ§¹Ñé¹¶éÒµÃÇ¨¾º Iron deficiency Anemia ã¹¼ÙéãËè·ÕèäÁè¾ºÊÒàËµØã´ æ ªÑ´à¨¹·ÕèÍ¸ÔºÒÂÀÒÇÐâÅËÔµ¨Ò§¨Ò¡¡ÒÃ¢Ò´àËÅç¡ä´éªÑ´à¨¹ (Â¡àÇé¹ã¹¼ÙéËÔ§·ÕèÁÕ»ÃÐ¨Óà´×Í¹ «Öè§ÍÒ¨Í¸ÔºÒÂä´é´éÇÂ¡ÒÃàÊÕÂàÅ×Í´ä»·Ò§»ÃÐ¨Óà´×Í¹) ¤ÇÃ¤Ô´¶Ö§âÃ¤ÁÐàÃç§ÅÓäÊéãËè áÅÐ¶éÒÁÕÍÒ¡ÒÃ·Õè¹èÒÊ§ÊÑÂÍÒ¨µéÍ§¾Ô¨ÒÃ³ÒµÃÇ¨¤é¹à¾ÔèÁàµÔÁ àªè¹ ·Ó Endoscopy ËÃ×Í Double Contrast Barium Enema
2. Transverse and Descending Colon àÁ×èÍÍØ¨¨ÒÃÐ¼èÒ¹ÁÒ¶Ö§ºÃÔàÇ³ Transverse áÅÐ Descending Colon ¨ÐÁÕ¡ÒÃ´Ù´¹éÓ¡ÅÑºä»·Ò§ÅÓäÊéãËè ·ÓãËéÍØ¨¨ÒÃÐÁÕ¤ÇÒÁà¢éÁ¢é¹ÁÒ¡¢Öé¹ ´Ñ§¹Ñé¹¶éÒÁÕ¡éÍ¹ÁÐàÃç§à¡Ô´¢Öé¹ã¹ºÃÔàÇ³¹ÕéáÅÐÍØ´¡Ñé¹¡ÒÃà¤Å×èÍ¹µÑÇ¢Í§ÍØ¨¨ÒÃÐ ÍÒ¨·ÓãËéà¡Ô´¡ÒÃÍØ´µÑ¹à¡Ô´¢Öé¹ à¡Ô´ÍÒ¡ÒÃ»Ç´·éÍ§ (Abdominal Cramping) à¡Ô´¡ÒÃÍØ´µÑ¹ (Obstruction) ¨¹à¡Ô´¡ÒÃáµ¡·ÐÅØ¢Í§ÅÓäÊéãËèÊèÇ¹·ÕèàË¹×ÍµèÍ¡ÒÃÍØ´µÑ¹ä´é (Perforation) àÁ×èÍµÃÇ¨ÊÍº·Ò§ÃÑ§ÊÕ¨Ð¾ºÅÑ¡É³Ðà©¾ÒÐ¢Í§ÃÍÂâÃ¤·ÕèàÃÕÂ¡ÇèÒ Apple-core ËÃ×Í Napkin-ring àËÁ×Í¹Ç§áËÇ¹ÃÑ´ÃÍºÅÓäÊéãËè «Öè§à»ç¹µÓáË¹è§¢Í§¡éÍ¹ÁÐàÃç§·ÕèâµÃÍº¼¹Ñ§ÅÓäÊéãËè
3. Rectosigmoid Colon and Rectal Cancer à¹×èÍ§¨Ò¡ÍØ¨¨ÒÃÐ·ÕèÁÒ¶Ö§ºÃÔàÇ³ÊèÇ¹»ÅÒÂ¢Í§ÅÓäÊéãËè¨ÐÁÕÅÑ¡É³Ð¤èÍ¹¢éÒ§á¢ç§µÑÇ áÅÐàÊé¹¼èÒÈÙ¹Âì¡ÅÒ§¢Í§ÅÓäÊéãËèºÃÔàÇ³¹ÕéÁÕ¢¹Ò´àÅç¡¡ÇèÒÊèÇ¹µé¹ ·ÓãËéÍÒ¨¾ºÍÒ¡ÒÃµèÒ§ æ ËÅÒÂª¹Ô´ »ÃÐ¡Íº´éÇÂÍÒ¡ÒÃ¶èÒÂà»ç¹àÅ×Í´ (Hematochezia)
»Ç´àºè§ (Tenesmus) ÍØ¨¨ÒÃÐÁÕÅÑ¡É³ÐàÊé¹¼èÒÈÙ¹Âì¡ÅÒ§àÅç¡Å§ (Narrowing in the Caliber of Stool)
ÊèÇ¹ÍÒ¡ÒÃâÅËÔµ¨Ò§¨Ð¾º¹éÍÂ¡ÇèÒÁÐàÃç§·Õèà»ç¹ºÃÔàÇ³ÊèÇ¹µé¹¢Í§ÅÓäÊéãËè ºÒ§ÃÒÂÍÒ¨ÁÒËÒá¾·Âì´éÇÂÍÒ¡ÒÃ¶èÒÂÍØ¨¨ÒÃÐ¼Ô´»¡µÔ (Bowel Habit Change) ¡ÒÃµÃÇ¨ÃèÒ§¡ÒÂ´éÇÂ Digital Rectal Examination áÅÐ Proctosigmoidoscopy ¨ÐªèÇÂÇÔ¹Ô¨©ÑÂâÃ¤ä´é

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Last modified on 25 October 1996