一种罕见的十二指肠多类型
Kumi Itami1, Takaaki Yoshikawa1, Shujiro Yazumi1
1Department of Gastroenterology and Hepatology Medical Research Institute Kitano Hospital Osaka Japan.
Clinical case reports
|October 9, 2023
概括
十二指肠中单独的Peutz-Jeghers (P-J) 类型的hamartomatous息肉很少见,但可以变成癌症. 早期识别和手术切除具有安全边缘至关重要,特别是在形状不规则的息肉.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 病理学 病理学 病理学
背景情况:
- 哈马托马型多,特别是皮茨-杰格斯 (P-J) 型,在十二指肠中不常见.
- 虽然通常是良性的,但十二指卵泡有恶性转变的风险.
研究的目的:
- 为了突出显示十二指肠中单独的P-J类型哈马托马托型息肉的意义.
- 为了强调这些罕见的十二指肠病变中恶性瘤的潜力.
主要方法:
- 临床病例和文献的综述,涉及单独的十二指甲状腺哈马托马托型息肉.
- 聚形态的组织病理学分析和相关风险因素的评估.
主要成果:
- 十二指肠中单独的P-J类型的哈马托马托型息肉,虽然很少见,但具有恶性潜力.
- 不规则的息肉形态被认为是增加风险的潜在指标.
结论:
- 识别单独的P-J型十二指甲状腺哈马托马托型息肉对于及时诊断至关重要.
- 建议对这些息肉进行足够的安全边缘的手术切除,特别是那些有不规则特征的息肉,以防止恶性进展.
相关概念视频
Histology of the Small Intestine
941
The small intestine exhibits a unique histological structure that significantly enhances its function in digestion and nutrient absorption. These structures include circular folds, villi, and various specialized cells that collectively facilitate the digestion of food.
The intestinal lining features transverse folds called circular folds, each housing fingerlike projections known as intestinal villi. These villi are covered by a layer of simple columnar epithelium, also referred to as...
The intestinal lining features transverse folds called circular folds, each housing fingerlike projections known as intestinal villi. These villi are covered by a layer of simple columnar epithelium, also referred to as...
941
Peptic Ulcer Disease I: Introduction
184
Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
184
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
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
151
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
151
Endoscopic Procedures V: ERCP
311
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
311
Pancreas
713
The pancreas, an essential organ in the human body, is a pinkish-gray elongated structure located posterior to the stomach. It extends laterally from the duodenum towards the spleen and is firmly bound to the posterior wall of the abdominal cavity. The organ's surface has a lumpy, lobular texture that gives it a unique appearance.
The broad head of the pancreas lies within the loop formed by the duodenum, while its slender body reaches towards the spleen. The tail of the pancreas is short...
The broad head of the pancreas lies within the loop formed by the duodenum, while its slender body reaches towards the spleen. The tail of the pancreas is short...
713


