在评估尿道癌症期间定期进行胃镜和结肠镜检查:我们真的需要它们吗?
Ming-Rui Luo1,2,3, Tao-Nong Cai1,2,3, Jiang-Li Lu1,2,3
1Department of Urology, Sun Yat-sen University Cancer Center, Guangzhou, 510060, P. R. China.
BMC cancer
|November 27, 2023
概括
在 urachal 癌症患者中,常规胃镜和结肠镜可能不需要. 图像和临床评估通常足以检测胃肠道问题,为积极的发现保留内镜.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
背景情况:
- 口腔癌与胃肠腺癌具有组织学上的相似之处.
- 术后胃镜和结肠镜通常用于 urachal 癌症评估.
- 这些内镜手术有相关的缺点.
研究的目的:
- 确定胃镜检查和结肠镜检查的必要性,用于对尿道癌症患者的术后评估.
- 为了比较内镜与成像评估在 urachal 癌症中胃肠病变的诊断产量.
主要方法:
- 对166例膀腺癌病例 (78例urachal,88例非urachal) 的回顾性审查.
- 术后评估的分析,包括成像和内镜手术.
- 在urachal和非urachal癌症组之间的诊断结果的比较.
主要成果:
- 在尿道癌症患者中,内镜检查只发现了轻微的发现 (多,腺瘤),没有初级胃肠癌.
- 在 urachal 癌症患者的成像评估中没有检测到显著的胃肠病变.
- 在非口腔癌患者中,成像和内镜检查发现了许多胃肠病变,包括35种结肠癌和1种胃癌.
- 图像检查显示与内镜检查具有很高的诊断一致性 (P<0.001),负预测值为96.9%,诊断效率为94.6%.
结论:
- 临床症状,体检和成像在很大程度上足以识别胃肠癌.
- 胃镜和结肠镜仅在初步评估结果呈现积极结果时,建议对尿道癌症患者进行胃镜和结肠镜.
- 这种方法可以优化术后评估和资源利用.
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