胃混合神经内分泌/非神经内分泌瘤:一种罕见的实体
José Damasceno E Costa1, Rita Seara Costa1, Hélder Deveza Moreira2
1Gastroenterology, Braga Hospital, Portugal.
Revista espanola de enfermedades digestivas
|October 26, 2023
概括
本案例研究详细介绍了一种罕见的混合神经内分泌/非神经内分泌瘤 (MiNEN) 在胃中,通过内镜下层剖析诊断. 进一步的管理正在等待多学科团队讨论.
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:
- 混合神经内分泌/非神经内分泌瘤 (MiNEN) 是一种罕见的复合瘤.
- 诊断历史上要求每个组成部分至少占瘤负担的30%.
- 世卫组织2019年分类定义了MiNENs.
研究的目的:
- 为了呈现一种胃中MINEN.EN的情况.
- 描述诊断和初始管理过程.
主要方法:
- 胃病变的内镜下粘膜剖析 (ESD).
- 切除样本的组织病理学检查.
- 瘤分期和多学科团队 (MDT) 讨论以进一步管理.
主要成果:
- 一个40毫米的压缩胃病变 (巴黎0IIc) 被切除.
- 组织学揭示了差差分化的内腺癌和G3级分化良好的神经内分泌瘤 (NET).
- 网络组件已经拦截了保证金.
结论:
- 这一案例突出显示了一种罕见的胃部MINEN.
- 使用ESD进行切除.
- 由于截获的利和分期结果,进一步的管理需要MDT审查.
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