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结肠中的伪膜下瘤:看到就是相信
Ding-Guo Zhang1, Qiu-Ling Lin2, Lisheng Wang3
1Gastroenterology, Shenzhen People's Hospital , China.
Revista espanola de enfermedades digestivas
|June 23, 2023
概括
一个罕见的模仿瘤的头下粘膜便病例成功地用内镜下粘膜剖析 (ESD) 治疗. 这一发现突出了便作为膜下粘膜病变的不寻常原因.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
- 病理学 病理学 病理学
背景情况:
- 膜下瘤不常见,典型的差异诊断包括神经内分泌瘤和脂瘤.
- 便,或硬化便物质,可以引起胃肠道问题,但很少模仿亚粘膜瘤.
研究的目的:
- 报告一个独特的Cecal submucosal便的病例,呈现为一个亚粘膜瘤.
- 描述成功的内镜治疗这种情况.
主要方法:
- 一名65岁的妇女出现了下腹痛,在结肠镜检查中发现她患有皮下粘膜病变.
- 内镜超声波 (EUS) 引导通过内镜亚粘膜剖析 (ESD) 进行病变的去除.
主要成果:
- 在ESD期间,观察到便物质,病理学证实了下菌,而不是真正的瘤.
- 患者的症状在手术后得到缓解,最终诊断为慢性尾炎,其次是便阻塞.
结论:
- 这个案例代表了首次报告的Cecal submucosal便模仿子瘤的案例.
- 内镜下膜剖析是一种有效的治疗便引起的尾炎和尾阻塞.
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