一个无症状的患者患有结肠白细胞瘤
Saad Alkhowaiter1, Abdulmalik Alsheikh2, Ammar Alotaibi1
1Gastroenterology, Internal Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Case reports in gastroenterology
|November 6, 2023
概括
结肠中的下皮质病变是罕见的. 这种病例研究突出显示了一种leiomyomatous多,一种良性粘膜下瘤,在内镜切除后通过组织学和免疫组织化学诊断.
科学领域:
- 胃肠病学 胃肠病学
- 胃肠道病理 胃肠道病理
- 手术瘤学手术瘤学
背景情况:
- 结肠的亚皮质病变 (SEL),特别是来自肌肉粘膜的病变,是不常见的内镜检查结果.
- 准确的诊断和恶性潜在的评估对于管理结肠SELs至关重要.
研究的目的:
- 介绍一个罕见的结肠亚皮质病变的案例研究.
- 为了说明结肠瘤的诊断过程和管理.
主要方法:
- 一个在查结肠镜检查期间发现的8毫米的西格形息肉病例.
- 使用热陷技术进行多角切除术.
- 组织病理学检查和免疫组织化学 (IHC) 分析.
主要成果:
- 组织病理学揭示了单调的状细胞的粘膜下损伤.
- IHC分析排除了胃肠道 stromal 瘤 (GIST),并证实了线性多胞体.
- 这种病变被确定为一种良性结肠瘤.
结论:
- 结肠瘤通常是良性,无症状的粘膜下瘤,在结肠直肠癌查期间经常偶然发现.
- 诊断依赖于组织学和IHC,因为内镜外观可以模仿其他SEL.
- 热陷多角切除术是小结肠瘤的有效治疗方法,复发率低.
关键词:
一个案例研究.结肠直肠肌瘤 (leiomyoma) 是一种疾病.结肠直肠癌是一种癌症.胃肠道 stromal 瘤是一种胃肠道瘤.热陷多面切除术 (Hot Snare Polypectomy) 是一种治疗方法.更多相关视频
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