探索尿道膀疾病的组织病理景观:第三级护理中心研究
Aakriti Kundlia1, Arpana Dharwadkar1, Charusheela Gore1
1Pathology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D.Y. Patil Vidyapeeth, Pune, Pune, IND.
Cureus
|August 15, 2024
概括
这项研究分析了尿膀的病变,发现瘤状况,特别是尿癌,是最常见的. 准确的组织病理学和囊透镜活检,包括肌肉层,对于诊断和管理这些膀瘤至关重要.
科学领域:
- 尿路病理学 尿路病理学
- 在瘤学瘤学.
- 手术病理学手术病理学
背景情况:
- 膀病变带来了诊断挑战,从炎症状况到恶性瘤.
- 尿癌是主导的膀恶性瘤,临床表现和预后各异.
研究的目的:
- 描述尿膀病变的组织病理学谱.
- 为了将人口统计学,临床和囊膜检查结果与膀病变诊断相关联.
主要方法:
- 在24个月内对65个尿膀活检进行了前性观察性研究.
- 在WHO 2022年分类和AJCC第8版分期之后进行了组织病理学检查.
- 临床数据与组织病理学诊断的相关性.
主要成果:
- 新生病变占病例的92.3%,尿道癌占83.33%.
- 侵入性高度泌尿瘤 (36.7%) 和非侵入性低度 papillary 泌尿瘤 (20.0%) 是最常见的.
- 血 (81.5%) 是主要症状;病变通常在膀侧壁,高度瘤显示肌肉入侵.
结论:
- 组织病理学对于诊断和管理膀疾病至关重要,将瘤与非瘤病变区分开来.
- 尿癌在老年人中很常见,经常侵入肌肉,表明高度瘤.
- 准确的诊断需要进行囊镜检查,包括肌肉层,并进行组织病理学评估,以确定阶段和治疗计划.
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