附录神经内分泌瘤的偶然呈现:来自单一机构的长期结果
Marlen Süleyman1, Abdullah Senlikci1, Abdullah Durhan1
1Department of General Surgery, Ankara Training and Research Hospital, Ankara-Türkiye.
概括
附录神经内分泌瘤 (NETs) 是常见的偶然发现. 这些瘤,通常在2厘米以下,显示出良好的预后,在本研究中没有观察到复发.
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:
- 尾神经内分泌瘤 (NETs) 是最常见的尾瘤.
- 诊断通常是偶然的,在急性尾炎的尾切除术后发现.
研究的目的:
- 为了回顾评估偶然诊断的附录NETs.
- 评估临床和病理特征以及患者的结果.
主要方法:
- 从8304次尾切除术 (2009年1月至2022年1月) 中对33例尾NET病例进行了回顾性分析.
- 评估患者的人口统计,瘤特征 (大小,等级,位置),外科边缘,淋巴结转移,Ki67指数,线粒分裂数和生存数据.
主要成果:
- 尾NET发生在0.4%的尾切除术中.
- 33名患者 (45.5%男性,54.5%女性) 的平均年龄为35.48岁.
- 一个病例 (3.03%) 具有积极的外科边缘,需要右侧半角切除术;其他病例则通过尾切除术进行管理. 随访时间中位数为89个月,没有瘤复发. 发生了一例非瘤死亡.
结论:
- 附录NET经常无症状,偶尔发现.
- 偶然的尾NET通常很小 (<2厘米),并且具有良好的预后.
- 尾切除术通常是足够的治疗,复发风险低.
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