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在微分,小规模的胃腺癌中发现了两个淋巴结转移病例:瘤芽起到了关键作用吗?
Young Sub Lee1, Yosep Chong2, Kyung Jin Seo2
1Department of Hospital Pathology, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 03312, Republic of Korea.
瘤芽 (TB) 可能预测淋巴结转移 (LNM) 在早期胃癌 (EGC) 患者接受内镜切除 (ER). 这一发现表明,结核病可以改进目前的EGC治疗指南.
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:
- 内镜切除 (ER) 是早期胃癌 (EGC) 的标准治疗方法,其淋巴结转移 (LNM) 风险较低.
- 瘤芽 (TB) 正成为EGC中LNM的预后因素.
研究的目的:
- 重新评估早期胃癌 (EGC) 中淋巴结转移 (LNM) 的瘤芽 (TB) 的预测能力.
- 评估结核病是否可以改进EGC目前的内镜切除 (ER) 指南.
主要方法:
- 关于两名患有胃腺癌的老年男性患者的病例报告.
- 在侵袭前线 (×200放大) 进行瘤芽 (TB) 组织病理学分析.
- 评估淋巴结转移 (LNM) 状态.
主要成果:
- 这两位患者都有小的,分化的,内腺癌.
- 尽管符合内镜切除 (ER) 的标准,但这两种病例都表现出高度瘤芽 (TB) 和淋巴结转移 (LNM).
- 在淋巴结转移 (LNM) 的病例中存在瘤芽 (TB).
结论:
- 这些病例凸显了目前仅基于瘤大小和深度的早期胃癌 (EGC) 准则的局限性.
- 高度瘤芽 (TB) 似乎是EGC中淋巴结转移 (LNM) 的重要预测因素.
- 重新考虑瘤芽 (TB) 作为一个风险因素是有必要的,以改进早期胃癌 (EGC) 治疗方案.
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