胃菌瘤的自然历史
Kwangbeom Park1, Ji Yong Ahn2, Hee Kyong Na3
1Department of Internal Medicine, Nowon Eulji Medical Center, Eulji University, Seoul, Korea.
Surgical endoscopy
|March 27, 2024
概括
大多数胃瘤 (良性瘤) 很少增加大小. 对于这些亚皮质瘤,没有立即手术的常规监测可能足够,在特定情况下考虑切除.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 在瘤学瘤学.
背景情况:
- 胃乳腺瘤是常见的亚皮质瘤 (SET).
- 虽然通常是良性和无症状的,但一些胃瘤可能会生长或引起症状.
- 了解胃瘤的自然史对于有效的患者管理至关重要.
研究的目的:
- 为了调查组织学确认的胃瘤的自然史.
- 为了确定瘤大小的频率,胃瘤随着时间的推移而增加.
- 为了评估切除的胃瘤病例中的组织病理学发现.
主要方法:
- 对231例经组织学确认的胃瘤病例进行了回顾性审查.
- 对没有立即切除的至少12个月随访病例的基线特征的分析.
- 主要结局:频率>25%的瘤大小增加;次要结局:切除病例的基因病理结果.
主要成果:
- 心脏是胃瘤最常见的位置 (77.1%),中位数为3厘米.
- 在84例随访病例中 (中位数为50.8个月),只有2.4%的瘤大小增加.
- 切除的病例证实了瘤瘤,发现了一个罕见的瘤肉瘤病例.
结论:
- 胃瘤主要是良性SET,即使在较大的瘤中,也很少发生大小进展.
- 没有立即切除的常规监测和随访对于大多数组织学证实的胃瘤可能是充足的.
- 在胃瘤出现或显著增加大小时,应考虑切除.
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