偶然的胃亚皮质瘤的流行率和自然过程
Dae-Hyuk Heo1, Min A Yang1, Jae Sun Song1
1Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
Clinical endoscopy
|March 29, 2024
概括
胃亚皮质瘤 (SETs) 的患病率随着年龄的增长而增加,特别是在老年人中. 大多数胃SET生长缓慢,并不会随着时间的推移显著地进展,特别是当它们很小并且没有不规则的边界时.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 内镜检查是指内镜检查.
背景情况:
- 胃副皮质瘤 (SETs) 经常在上部胃肠道内镜查期间检测到.
- 了解它们的流行和进展对于患者管理至关重要.
研究的目的:
- 确定胃SET在大量患者队列中的患病率.
- 确定与胃SETs进展相关的风险因素.
主要方法:
- 对30754名接受内镜查的患者电子病历的回顾性审查.
- 对262名胃SET患者的连续内镜数据的分析,平均随访时间为58个月.
主要成果:
- 胃SET的患病率为1.94%,在70岁以上的患者中增加到9.56%.
- 确定不规则的边界是瘤进展的重要风险因素 (OR,4.623;P=0.037).
- 只有8.4%的患者表现出显著的瘤大小变化,常见的病理包括瘤和胃肠道瘤.
结论:
- 胃SET患病率随着年龄的增长而上升.
- 长期内镜监测表明,大多数胃SET表现出最小的进展.
- 无症状的,没有不规则边界的小胃SETs具有较低的尺寸增加风险.
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