低度的尾粘膜性瘤穿透西格结肠:一个病例报告
Michio Okamoto1,2, Ryosuke Okamura1, Yoshiro Itatani1
1Department of Surgery, Kyoto University Hospital, Kyoto, Japan.
Asian journal of endoscopic surgery
|August 4, 2024
概括
一个罕见的低度尾粘膜瘤 (LAMN) 侵袭西格结肠的罕见病例突显了手术干预的必要性. 在怀疑尾结肠囊时,建议对尾和结肠进行分块切除.
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:
- 低度尾粘膜瘤 (LAMN) 通常表现为低度细胞学和没有器官入侵.
- 尾瘤侵入邻近结构并不常见,但可能会使诊断和治疗复杂化.
研究的目的:
- 报告一个独特的手术病例LAMN与西格结肠壁透.
- 强调疑似尾结肠的LAMN的诊断和治疗方面的考虑.
主要方法:
- 一个病例报告,是一名87岁的男性,患有复发性结肠,最初接受了内镜切除治疗.
- laparoscopic 手术 揭示了一个附录附着在sigmoid结肠,导致两个器官的块切除.
- 组织病理学评估证实了LAMN透到西格体结肠壁.
主要成果:
- 这种LAMN已经侵入了西格体结肠壁,在结肠粘膜上形成了两个截然不同的息肉.
- 在没有瘤暴露的情况下,完成了尾和西格结肠的完全阻断切除.
- 尽管有多次内镜切除,但患者的复发性息肉病史与潜在的LAMN.有关.
结论:
- LAMN可以侵入邻近的结构,如西格结肠,呈现为复发性多体.
- 在怀疑尾结肠囊时,对尾和所涉及的结肠片段进行分块切除至关重要.
- 这一案例强调了对尾病变进行彻底的遗传病理学评估的重要性,特别是在异常呈现的情况下.
相关概念视频
Appendicitis-I: Introduction
100
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
100
Appendicitis-II: Diagnostic Studies and Management
73
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
73
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
66
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
66
Inflammatory Bowel Disease V: Surgical Management
134
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
134


