相关实验视频

Updated: May 13, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

皮质形切割形瘤与腹膜传播

Hiroki Egashira¹, Hiroaki Ishida², Nobuyuki Hiruta³

¹Department of Obstetrics and Gynecology, Toho University Medical Center Sakura, Chiba, Japan.

BMJ case reports

|September 26, 2024

概括

状切割性乳腺瘤 (CDL) 是一种罕见的子宫瘤,可以被误诊为肉瘤. 较大的CDL瘤与腹膜扩散的风险更高有关.

科学领域:

妇科瘤学妇科瘤学
手术病理学手术病理学
生殖医学生殖医学

背景情况:

状切割性乳腺瘤 (CDL) 是一种罕见的良性子宫瘤,其特征是多的,类似于胎盘的生长.
由于CDL与子宫膜的边界不清楚,因此它带来了诊断上的挑战,往往导致被误诊为子宫肉瘤.
虽然CDL通常有良好的预后,但很少出现腹传播.

研究的目的:

报告一例CDL病例,最初怀疑是血清下肌肉瘤,需要改变手术管理,以切除腹膜扩散的全腹切除术.
进行文献综述,比较有或没有腹膜传播的CDL病例,以确定预测因素.

主要方法:

一个被诊断患有CDL的患者的病例报告.
在外科手术期间,组织病理学诊断指导手术决策.
对CDL病例的系统性文献审查,根据腹传播的存在或缺乏对其进行分类.

主要成果:

由于手术内发现和快速的组织病理学诊断,患者接受了整体子宫切除术,并切除了腹膜扩散.
文献审查显示,CDL病例与腹膜扩散和没有腹膜扩散之间瘤直径的统计学上显著差异.
瘤直径在腹膜扩散组显着更大.

结论:

CDL需要精心进行手术前和手术后的评估,以避免误诊并确保适当的手术管理.
较大的瘤大小是CDL中腹传播的潜在危险因素.
虽然在特定的CDL病例中可以考虑保护生育能力,但在较大的瘤中传播的风险值得考虑.

关键词:

癌症 - - 见瘤学手术手术手术术术在子宫,子宫.

更多相关视频

Sentinel Lymph Node Mapping and Biopsy for Endometrial Cancer at Early Stage with Laparoscopy

Sentinel Lymph Node Mapping and Biopsy for Endometrial Cancer at Early Stage with Laparoscopy

Published on: August 19, 2021

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

相关概念视频

Appendicitis

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...