在一个逆转的梅克尔转管中,有一个腺癌,并有内
Yamato Miwa1, Yo Sato2, Kenichiro Hirano2
1Department of Digestive and General Surgery, Uonuma Kikan Hospital, 4132 Urasa, Minami-Uonuma, Niigata, 949-7302, Japan. y-miwa@med.niigata-u.ac.jp.
Surgical case reports
|June 4, 2023
概括
这份病例报告详细介绍了一种逆转的梅克尔分泌体内的腺癌,导致内,这是一个罕见的疾病. 早期诊断和区分梅克尔的分泌器相关疾病对于患者的结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 发生在反转的梅克尔分分泌体中,并有内肠接的腺癌是一种异常罕见的临床表现.
- 梅克尔分歧管是一种先天性异常,可能会导致各种并发症,包括输入和恶性转变.
研究的目的:
- 报告一个独特的腺癌病例,发生在颠倒的梅克尔分泌体中,导致内.
- 突出这一罕见实体的临床挑战和诊断考虑.
- 审查关于梅克尔的分泌器相关的肠接和恶性潜力的文献.
主要方法:
- 一名71岁的女性出现了严重的贫血症,导致对终端骨髓损伤的调查.
- 计算机断层扫描和探索性腹腔镜确定了内瘤作为领先点的内.
- 手术切除和随后的组织病理学检查,包括免疫组织化学染色,证实了带有异位胃粘膜的腺癌.
主要成果:
- 在终端内,在一个倒置的分离器样结构的尖端发现了一种多重型腺癌.
- 组织学揭示了腺癌与胃和胆囊腺体的转化,这表明起源于Meckel的分泌体中的异位胃粘膜.
- 瘤被确定为内的领先点.
结论:
- 不熟悉的小肠病变需要与梅克尔的分离器相关的病理区分开来.
- 颠倒的梅克尔分歧器可以导致肠接,并带有恶性转变的风险.
- 识别这些关联对于适当的临床管理至关重要.
相关概念视频
Barrett Esophagus-I: Introduction
139
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
139
Appendicitis-I: Introduction
289
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
289
Cancer Cell Migration through Invadopodia
2.3K
Invadosome is a broad category of cell surface structures with proteolytic activity that degrades the extracellular matrix (ECM). Invadosomes are present in normal cell types, including macrophages, endothelial cells, and neurons, as well as tumor cells. Although the macrophage podosomes and tumor cell invadopodia are classified as invadosomes, they have different structures, molecular pathways, and functions. Podosomes are short structures that last for a few minutes. However,...
2.3K
Renewal of Intestinal Stem Cells
2.6K
The intestinal epithelial lining rapidly renews every 4 to 5 days. The renewal is facilitated by intestinal stem cells (ISCs) located at the base of the crypt– a gland located at the bottom of each villus. ISCs divide asymmetrically to form new stem cells and progenitor daughter cells. The daughter cells are called transit-amplifying (TA) cells which move upwards along the crypt and either differentiate into absorptive cells– the enterocytes or secretory cells– including the...
2.6K


