奇怪的案例是一个巨大的逆膜囊
Viral Surani1, Sanjay Chatterjee2, Sunila Jaggi3
1Gastroenterology and Hepatology, Bombay Hospital and Medical Research Center, Mumbai, IND.
Cureus
|February 6, 2024
概括
超过10厘米的巨型上腺囊存在诊断挑战. 这种病例突出了由这种囊引起的罕见,巨大的脊椎质,需要进行手术.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 放射学 放射学是一门学科.
背景情况:
- 上腺囊是罕见的,通常小,无症状,非功能性充满液体的上腺质量.
- 巨大的上腺囊 (>10厘米) 在确定其起源时带来了诊断挑战.
- 干预的指示包括大尺寸,症状,内分泌功能障碍,出血或恶性瘤的怀疑.
研究的目的:
- 为了呈现一个由罕见的巨型上腺囊引起的巨型上腺质量的特殊案例.
- 讨论与巨型上腺囊相关的诊断和管理挑战.
主要方法:
- 案例报告的呈现方式.
- 对临床表现,诊断成像 (超声波,CT) 和手术管理的审查.
- 关于巨大的背骨质群体的差异诊断的讨论.
主要成果:
- 患者呈现出巨大的逆肌质.
- 这块体被诊断为一个巨大的上腺囊.
- 进行了上腺切除术,证实了诊断,并解决了质量.
结论:
- 巨大的上腺囊可以呈现为巨大的上腺体质量,模仿其他病理.
- 及时诊断和手术治疗 (上腺切除术) 对大或有症状的上腺囊至关重要.
- 超声波引导的皮肤疏通可能是无疑良性囊的一个选择.
相关概念视频
Mechanisms of Membrane-bending
The living membranes are flexible due to their fluid mosaic nature; however, their bending into different shapes is an active process regulated by specific lipids and proteins. The membrane bending can be transient as seen in vesicles or stable for a long time as in microvilli. Cells regulate the size, location, and duration of the membrane curvature.
Membrane bending can happen due to intrinsic changes in lipid composition or extrinsic association with different proteins. The proteins involved...
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Blebs are a type of membrane protrusion formed by the internal hydrostatic pressure of the cytoplasm. Blebs are observed in several cell types, including fibroblasts, immune cells, and single-celled organisms like the amoeba. The primary function of blebs is cell locomotion and apoptosis, but they are also found during necrosis and cell division. The life cycle of a bleb comprises an initiation phase followed by the expansion and retraction phases.
Blebbing Through the Matrix
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The protrusion of the cell surface is an initial step for several cellular processes, including cell migration, phagocytosis, and neurite outgrowth. These membrane protrusions are a result of cytoskeletal rearrangement. The most widely observed cell protrusions include lamellipodia, pseudopodia, filopodia, microvilli, invadopodia, and podosomes. These protrusions can be of two types — static or dynamic.
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