结肠中罗莎伊-多夫曼病的多重焦点:一个病例报告
Eri Kisu1, Masatsugu Hiraki2, Keiichiro Okuyama1
1Department of Surgery, Saga University Faculty of Medicine, 5-1-1 Nabeshima, Saga, 849-8501, Japan.
Surgical case reports
|July 18, 2024
概括
罗莎-多夫曼病 (RDD) 是一种罕见的囊细胞性疾病,可能起源于结肠. 手术切除在结肠RDD的独特病例中对诊断和治疗有效.
科学领域:
- 囊细胞性疾病 囊细胞性疾病
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
背景情况:
- 罗莎-多夫曼病 (RDD) 是一种不常见的增殖性囊细胞性疾病,影响淋巴结和其他器官.
- 虽然RDD发生在43%的病例中,但结肠发病非常罕见.
研究的目的:
- 报告一种罕见的来自结肠的罗赛-多夫曼病病例.
- 突出诊断挑战和手术在治疗结肠RDD中的作用.
主要方法:
- 一名75岁的男性患者出现了偶然检测到的腹内质量.
- 计算机断层扫描 (CT) 和正电子发射断层扫描 (PET) -CT揭示了可疑为恶性瘤的结肠病变.
- laparoscopic 评估导致了大肠切除和西格莫切除术,以确定确诊.
主要成果:
- 手术后的组织病理学证实了多个Rosai-Dorfman疾病病变,这些病变起源于盲目结肠和西格结肠的中结肠.
- 患者接受了手术切除瘤,没有辅助治疗.
- 在手术后一年没有观察到任何复发.
结论:
- 起源于结肠的罗莎-多夫曼病非常罕见.
- 手术干预,如瘤切除或器官切除,往往是必要的结肠RDD的最终诊断.
- 最少侵入性的外科手术方法可以在管理这种情况时有益.
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