偶然的尾瘤:单中心结果
Hakan Ozdemir1, Zehra Unal Ozdemir, Mehmet O Gul
1Haydarpasa Numune Training and Research Hospital, General Surgery Department, Istanbul, Turkey.
Indian journal of cancer
|December 30, 2023
概括
尾切除样本可以揭示恶性瘤,如神经内分泌瘤 (NET) 和低度粘膜性瘤 (LAMN). 虽然一些尾癌需要进一步治疗,但尾切除术通常足以用于NET和LAMN,需要进行术后查.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 在瘤学瘤学.
背景情况:
- 尾切除样本的组织病理学检查对于识别恶性瘤至关重要.
- 恶性瘤的发现可以决定单独尾切除是否足够,或者是否需要额外的治疗.
研究的目的:
- 在尾切除样本上检查诊断出恶性病例.
- 分析在尾切除术期间发现的尾恶性瘤的类型和结果.
主要方法:
- 在2013年1月至2018年12月期间接受尾切除术的患者的回顾性评估,预先诊断为急性尾炎.
- 在尾切除样本上包括确诊恶性瘤的病例.
- 记录患者人口统计,瘤特征 (类型,直径,等级,局部),手术边缘,Ki-67指数,淋巴血管入侵,围神经入侵和随访时间.
主要成果:
- 在2336个尾切除标本中,16个 (0.7%) 患有神经内分泌瘤 (NET),11个 (0.5%) 患有低度粘膜瘤 (LAMN),5个 (0.2%) 患有初级尾癌.
- 尾瘤通常伴有急性尾炎的症状.
- 尾切除术适用于大多数NET和LAMN病例,而腺癌可能需要右半角切除术 (RHC).
结论:
- 神经内分泌瘤和尾的低度粘膜性瘤通常具有良性预后.
- 虽然尾切除术对于许多尾瘤是足够的,但经手术后的仔细查和随访是必不可少的.
- 对于某些尾癌,可能需要进一步的治疗方案,例如右侧半球切除术.
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