转移性胃瘤:临床和内镜特征
Kazuki Hirano1, Kosuke Nomura1, Yorinari Ochiai1
1Gastroenterology, Toranomon Hospital, Tokyo, JPN.
Cureus
|May 21, 2024
概括
转移性胃瘤很少见,但由于癌症预后改善,患者的诊断越来越多. 了解它们的内镜特征和临床病史有助于准确诊断.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 胃转移是一种不常见的临床表现.
- 很少有报告详细介绍了转移性胃瘤的内镜特征.
- 癌症患者预后改善导致转移性疾病的频率增加.
研究的目的:
- 分析转移性胃瘤的临床病理学特征.
- 描述转移性胃瘤的内镜特征.
- 通过了解内镜检查结果和临床病史来提高诊断准确度.
主要方法:
- 对31名来自固体器官瘤的胃转移患者的回顾性分析.
- 评估组织学,表现,内镜检查结果,病变位置,治疗和存活率.
- 对临床病理特征和内镜特征的审查.
主要成果:
- 内镜检查结果各不相同,其中16%类似于粘膜下瘤,84%模仿初级胃癌.
- 孤独转移发生在67.7%的病例中.
- 转移后的中位生存期为19个月,根据原发性癌症类型有显著的变化.
结论:
- 胃转移的准确诊断依赖于识别各种内镜表现.
- 将内镜检查结果与患者临床病史相结合,对于诊断至关重要.
- 增加癌症存活率需要提高对转移模式的认识.
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