低度尾粘性新生体与尾缩小和重新扩张在两年内
Ryuzo Deguchi1, Takashi Ueda1, Motoki Kaneko1
1Department of Gastroenterology, Tokai University School of Medicine, Japan.
Internal medicine (Tokyo, Japan)
|February 18, 2024
概括
本病例报告详细介绍了一种罕见的低度尾粘膜瘤 (LAMN),偶然发现. 附录病变在成像上显示了可变的大小,在手术切除后确认为LAMN.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 病理学 病理学 病理学
背景情况:
- 下尾病变可能是具有挑战性的,在手术前进行诊断.
- 低度尾粘膜瘤 (LAMN) 是一种罕见的尾瘤.
- 在无关的程序中偶然发现需要仔细评估.
研究的目的:
- 报告一个通过组织病理学诊断的独特LAMN病例.
- 突出LAMN.的诊断挑战和成像特征.
- 为了记录尾病变的大小的动态变化.
主要方法:
- 结肠镜 (CS) 和计算机断层扫描 (CT) 用于最初的病变检测.
- 内镜超声波 (EUS) 用于详细的囊特征.
- laparoscopic 尾切除术用于最终治疗和组织病理学检查.
主要成果:
- 在尾底部确定了一个12毫米的下膜病变.
- 病变在连续CT扫描上显示了波动的大小.
- 组织病理学证实了低度尾粘膜瘤 (LAMN) 的诊断.
结论:
- LAMN可以呈现为偶然发现的尾病变,具有可变的成像发现.
- 多式成像包括CS,CT和EUS,有助于诊断.
- 切除样本的组织病理学检查对于确定LAMN诊断至关重要.
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