一名年轻女性的腹部上部疼痛,接受了内镜下粘膜剖析治疗
Qianqian Li1, Weiwei Chen2, Lei Chen3
1Xuzhou Medical University.
Revista espanola de enfermedades digestivas
|March 12, 2024
概括
一种罕见的胃瘤 - - 胃炎性纤维瘤多 (IFP) - - 通过内镜下粘膜剖析成功被切除. 这种微创手术确保了瘤的完全去除,并为患者提供了有利的12个月的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 医疗成像医学成像
背景情况:
- 炎症性纤维细胞聚体 (IFP) 是一种罕见的,良性介质细胞瘤,可以发生在胃肠道的任何地方.
- 胃内膜炎,虽然不常见,但由于其多样化的内镜外观,提出了诊断挑战.
研究的目的:
- 报告一个胃炎性纤维瘤多 (IFP) 的病例.
- 描述诊断方式和组织病理学发现.
- 为了说明胃IFP的成功内镜治疗.
主要方法:
- 一名39岁的妇女出现了腹部上部疼痛.
- 诊断程序包括胃镜,内镜超声波 (EUS) 和腹部计算机断层扫描 (CT).
- 进行了内镜下粘膜剖析 (ESD),随后进行了他的病理学和免疫组织化学分析.
主要成果:
- 胃镜检查显示了半的胃突起.
- EUS显示出一个低声的粘膜质量,CT证实了一个低密度的形质量.
- 组织病理学表明,在"洋皮"模式下,增殖的状细胞与乙素透. 免疫组织化学检测结果对CD34呈阳性,对CD117,S100,DOG-1,SMA和Desmin呈阴性.
- 这名患者被诊断患有胃部IFP,在12个月的随访期间仍然无症状.
结论:
- 胃炎性纤维细胞聚体 (IFP) 可以有效地通过内镜成像和组织病理学的结合来诊断.
- 内镜下粘膜切割 (ESD) 是胃IFPs的可行和治愈治疗选择.
- 这一案例强调了在胃下粘膜病变的差异诊断中考虑IFP的重要性.
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