从尾切除术后的尾尖残留物中获得的尾瘤:两例病例的报告
Yusuke Fujii1, Koya Hida2, Akihiko Sugimoto3,4
1Department of Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Surgical case reports
|June 12, 2024
概括
由于严重的炎症,尾瘤可以在不完整的尾切除术后从剩余的尾尖端产生的. 早期检测和随访对于管理这些罕见的瘤至关重要.
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:
- 尾瘤很罕见,大多数起源于尾茎.
- 这项研究侧重于两种独特的尾瘤病例,这些瘤来自尾尖残留物.
研究的目的:
- 报告和分析两个由尾尖引起的尾瘤手术病例.
- 强调识别和管理不完全切除尾的瘤的重要性.
主要方法:
- 介绍了两个不同的手术病例,涉及尾残留瘤.
- 详细的病理分析,包括计算机断层扫描 (CT) 和回顾性审查.
- 外科干预包括腹腔镜内切除和D3淋巴结解剖.
主要成果:
- 案例1:一名71岁的男性在尾切除术后12年从尾尖残留物中发展出90毫米低度尾粘膜瘤 (LAMN).
- 案例2:一个65岁的男性被诊断出患有粘膜腺癌 (TXN0M0) 从尾尖残留21年后尾切除.
- 两位患者都经历了成功的手术切除,在随访时没有直接的并发症或复发.
结论:
- 严重的尾炎可能导致尾切除不完整,留下尾尖残留物.
- 在经过艰难的尾切除术后怀疑残留尾的患者,术后监测是必不可少的.
- 尾尖瘤的及时诊断和管理对于有利的结果至关重要.
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