胃肠道中的标签环细胞:并不总是看起来像
M Vanhooren1, A Billiet1, T Hendrickx1
1University Hospitals Leuven (UZLeuven), Department of Gastroenterology, Leuven, Belgium.
Acta gastro-enterologica Belgica
|October 16, 2024
概括
胃活检中的伪标签环细胞可以模仿癌症,导致误诊. 病理学家的早期识别至关重要,以防止不必要的手术和伤害患者.
科学领域:
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
- 手术瘤学手术瘤学
背景情况:
- 伪印章环细胞是罕见的实体,在胃活检中可以被误认为是恶性印章环细胞.
- 这些细胞可以出现在无症状患者中,使诊断和管理复杂化.
- 区分良性和恶性模仿者对于适当的患者护理至关重要.
研究的目的:
- 在胃活检中报告了两个伪签名环细胞病例.
- 为了突出这一非恶性实体所带来的诊断挑战.
- 强调准确的病理解释的重要性,以避免不必要的手术干预.
主要方法:
- 审查了两个胃活检显示伪签名环细胞的病例.
- 活检样本的组织病理学检查.
- 临床相关性包括内镜检测结果和病史.
主要成果:
- 在胃活检中,两名成年男性患者呈现了伪标签环细胞.
- 一名患者接受了先前胃腺癌的手术,后来患上了静脉狭窄症.
- 第二个病人,正确诊断,避免了手术,仍然没有癌症.
结论:
- 伪标签环细胞是胃癌中恶性标签环细胞的罕见良性模仿者.
- 及时和准确的病理识别对于防止误诊和过度治疗至关重要.
- 病理学家,瘤学家和外科医生的多学科合作对于最佳的患者管理至关重要.
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