臨床的に異常な付属体の患者における新形成性診断の発生率と予測要因

Tina Gowda¹, Nicole Aguirre¹, Mostafa Mohamed¹

¹Colorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Annals of surgical oncology

|February 20, 2026

まとめ

ネオプラスティック疾患は,イメージングや内視鏡検査で発見された尾異常で一般的であり,症例の半分以上が癌を示しています. 診断的尾切除は,これらの発見のための効果的な管理戦略です.

科学分野:

胃腸内科胃腸内科
外科腫瘍学外科腫瘍学
診断用イメージング

背景:

急性虫炎以外の虫異常は時折発見される.
これらの症例における基礎的な腫瘍の頻度は不明である.
この研究は,付属体の異常における腫瘍性疾患の発生率を調査しています.

研究の目的:

付属体の異常を有する患者の腫瘍性疾患の発生率を決定する.
付属体の腫瘍と関連したイメージングと内視鏡の発見を特定するために.
診断用尾切除術の有効性を評価するために.

主な方法:

診断用尾切除手術を受けた132人の患者の遡及的レビュー (2011-2021年).
急性虫炎,腹腔内がん,または既知の悪性腫瘍を有する患者を除外する.
ネオプラスティック群と非ネオプラスティック群のX線写真,生化学,大腸内視鏡の比較結果.

主要な成果:

ネオプラスティック疾患は52%の症例で確認された (68/132).
ネオプラズマは,システィック・マス (77%),カルシフィケーション (75%),および拡張付属体 (63%) と関連していました.
特定されたリスクグループは,高 (システィック質量,77%の腫瘍),中等 (42%の腫瘍),低 (炎症的変化,0%の腫瘍) です.

結論:

ネオプラスティック病理は,癌センターに紹介された尾異常で頻繁です.
診断用尾切除術は,診断と治療の両方にとって効果的な戦略です.
この発見は,疑わしい尾損傷の尾切除を裏付けるものである.

キーワード:

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