在胃癌患者中消失的标志环细胞腺癌
Aravind Sreeram1, Emily E Stroobant1, Monika Laszkowska2
1Department of Surgery, Gastric and Mixed Tumor Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Annals of surgical oncology
|September 29, 2024
概括
早期扩散性胃癌 (标记环细胞类型) 在一些患者中显示自发回归. 这表明癌症有不同的途径,并有可能在某些特定情况下进行内镜监测.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 在全球范围内,扩散型胃癌的发病率正在上升.
- 这种亚型表现出侵略性特征,但早期 (T1a) 癌症的存活率比预期的要好.
- 具有密封环细胞形态的T1a扩散型癌症具有独特的特征.
研究的目的:
- 为了研究T1a封印环细胞胃癌的行为.
- 确定可能导致这些早期癌症自发回归的潜在因素.
主要方法:
- 对T1a胃腺癌患者的回顾性分析和封印环细胞形态.
- 数据收集于2013-2023年纪念斯隆凯特林癌症中心的数据.
- 排除已知CDH1或CTNNA1突变的患者.
主要成果:
- 在30名患者中的7名患者中,T1a封印环细胞胃癌在初始活检后消失了.
- 平均随访时间为50个月.
- 在这些情况下,在随后的活检或切除时没有检测到癌症.
结论:
- T1a封号环细胞胃癌可能遵循不同的致癌途径.
- 自发回归可能是由于完全去除,免疫清除或遗传因素.
- 内镜监测可能适合选择T1a封圈细胞癌症,经过仔细评估.
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