胃食道结腺癌在袖子胃切除术1年后
Kevin C Brown1, Gabriela Esnaola1, Dan Boffa1
1Department of Surgery, Yale School of Medicine, 330 Cedar Street, PO Box 208062, New Haven, CT 06510, United States.
Journal of surgical case reports
|September 29, 2023
概括
胃食道腺癌是袖子胃切除术后的一种罕见并发症. 这一案例突出了一个非免疫性受损患者的独特案例,强调需要保持警.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 腹部外科 腹部外科
背景情况:
- 袖子胃切除术是一种常见的减肥手术.
- 胃食道恶性瘤是袖子胃切除术后极为罕见的并发症.
- 早期检测和管理对于患者的结果至关重要.
研究的目的:
- 报告一例罕见的腹腔镜袖胃切除术后远部食道腺癌病例.
- 讨论这种罕见并发症的临床表现,诊断挑战和治疗.
- 为在袖子胃切除术后对胃食道恶性瘤的有限文献做出贡献.
主要方法:
- 一名BMI高的70岁男性接受了腹腔镜袖胃切除术.
- 手术后的监测包括内镜和内镜超声波 (EUS).
- 多模式治疗包括食道支架,化疗,放射和食道切除术与胃切除术.
主要成果:
- 患者在手套胃切除术后的11个月内发展出远部食道腺癌 (HER3+,MMR熟练,临床T2N1).
- 治疗包括新辅助疗法,食道支架和随后的食道切除术与全胃切除术.
- 病理学证实差异化侵袭性腺癌与负边缘差异化.
结论:
- 胃食道腺癌在袖子胃切除术后可能很少发生,即使在非免疫受损的个体中也是如此.
- 该病例是美国第二例报告的病例,也是非免疫受损患者中首例.
- 对于罕见的袖子胃切除术后并发症,警监测和及时管理至关重要.
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