附录的杯状细胞癌:六个病例报告
Toshiaki Toshima1, Ryo Inada2, Shinya Sakamoto1
1Department of Gastroenterological Surgery, Kochi Health Sciences Center, Kochi 781-8555, Japan.
World journal of clinical cases
|August 7, 2024
概括
尾的杯状细胞癌 (GCC) 是一种罕见的瘤. 术前诊断具有挑战性,通常会导致尾切除术期间因疑似尾炎而有偶然发现.
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:
- 杯状细胞癌 (GCC) 是一种罕见的尾瘤,具有混合的神经内分泌和腺癌特征.
- 由于非特异性症状,如腹部疼痛,GCC存在诊断挑战.
- 粘膜下生长和尾壁侵袭使手术前通过结肠镜检查的鉴定复杂化.
研究的目的:
- 为了突出GCC的诊断困难.
- 强调在尾炎病例中考虑GCC的重要性.
主要方法:
- 在2017-2022年期间接受治疗的6名GCC患者的回顾性分析.
- 对临床表现,诊断程序 (CT,结肠镜) 和手术结果的审查.
- 病理检查,包括淋巴结状况.
主要成果:
- 6名患者中有5人出现腹痛,最初被诊断为尾炎.
- 结肠镜检查未能在2名患者中发现瘤变化.
- 2名患者有淋巴结转移;所有患者均在中位数15个月的随访期内没有复发而活着.
结论:
- 在手术前诊断尾GCC是困难的.
- 在尾炎的差异诊断中应考虑GCC,特别是在外科探索期间.
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