由于眼膜中的炎症性质量,右侧大肠切除术后来被发现是结核病
Mohamad Nawras1, Raul Bosio2, Eilynn Sipe2
1University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
The American surgeon
|January 12, 2024
概括
胃肠结核病 (GI TB) 可以模仿结肠直肠癌,导致诊断延迟. 早期考虑胃肠道结核病至关重要,特别是当活检对恶性瘤没有确定性时.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 在瘤学瘤学.
背景情况:
- 胃肠结核病 (GI TB) 是一种罕见的肺外结核病形式.
- 胃肠道结核病呈现出各种症状,通常模仿其他胃肠道疾病.
研究的目的:
- 强调在怀疑结肠直肠恶性瘤的差异诊断中考虑肠道结核病的意义.
- 强调胃肠道结核病所带来的诊断挑战,特别是当初始活检缺乏明确的恶性指标时.
主要方法:
- 一个85岁的男性的病例介绍,最初怀疑是恶性的质质量.
- 使用酸速染色对手术样本进行分析,以识别Mycobacterium物种.
- 淋巴结的组织病理学检查,检查是否有死性颗粒瘤.
主要成果:
- 该患者因疑似脏恶性瘤而经历了结肠切除.
- 在手术样本中发现了酸敏细菌.
- 在多个淋巴结中发现了死性颗粒瘤,证实了结核病.
结论:
- 胃肠结核病应该被纳入差异诊断的患者呈现特征暗示结直肠癌的特征.
- 诊断延迟可能发生,当初始活检没有显示恶性细胞,而是颗粒状炎症.
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