• Department of General Surgery, Nanfang Hospital, First Military Medical University, Guangzhou 510515;
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Objective  To analyse the causes of missed diagnosis in colorectal cancers and improve the early diagnosis. Methods  A retrospective analysis was made to investigate the cause of missed diagnosis in 380 cases suffering from colorectal cancers.
Results  Of the 1 020 patients treated in our hospital in the past ten years (1984-1993), 380 patients were missed diagnosed, with the missed diagnosis rate of 37.3%. The main causes included: ①lacking attention to the early symptoms of colorectal cancers, neglecting the need to conduct certain tests such digital rectal examination and stool occult blood examination, ②delaying of seeking medical advice on the part of the patients, ③being satisfied with the diagnosis and treatment of benign disease, and ④neglecting certain special tests such as enteroscopy and barium enema examination of colon.
Conclusion  Routine use of rectal touch, occult blood examination and necessary use of special tests such as enteroscopy, barium enema examination of colon in patients suffering from stool change will increase the rate of accurate diagnosis of colorectal cancer.

Citation: HUANG Xiangcheng,WU Chengtang,ZHANG Zhiling,et al.. ANALYSIS OF MISSED DIAGNOSIS IN COLORECTAL CANCER (REPORT OF 380 CASES). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2000, 7(1): 25-26. doi: Copy