偶然的胃结环细胞癌:呼吁采取积极的方法
Sheer Shabat1, Ronit Grinbaum2, Yoram Kluger3
1Department of Rehabilitation, Hadassah Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Israel.
The Israel Medical Association journal : IMAJ
|August 14, 2023
概括
在非向活检中发现的偶然的封印环细胞癌 (SRCC) 显示出良好的结果. 对于早期胃SRCC的侵略性手术可能会导致长期生存.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 标签环细胞癌 (SRCC) 是一个预后不佳的胃癌亚型.
- 早期的SRCC通常有更好的预后.
- 偶然的SRCC诊断需要进一步的结果调查.
研究的目的:
- 为了评估被诊断为偶发的印章环细胞癌的患者的临床结果.
- 为了确定意外发现的早期SRCC的预后.
主要方法:
- 采用了追溯案例系列方法.
- 检查了900名患有SRCC的患者的病历.
- 偶然的SRCC被定义为来自非损伤向活检的诊断.
主要成果:
- 六名偶发性SRCC患者接受了胃切除术.
- 五名患者有早期SRCC焦点,没有淋巴血管入侵.
- 在平均4.2年的随访期间,没有观察到死亡或复发.
结论:
- 偶然的胃SRCC,特别是早期的,提供了一个有利的预后.
- 对于偶发的胃SRCC,建议采取积极的手术策略.
- 长期存活是可以实现的选择患者随机SRCC.
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