长期 (3.5年) 无症状硬化介质炎的观察:一个病例报告
Hiroki Takiyama1, Tsutomu Nishida1, Dai Nakamatsu1
1Department of Gastroenterology, Toyonaka Municipal Hospital, Toyonaka, JPN.
Cureus
|October 24, 2024
概括
硬化性介质炎 (SM) 可以呈现为化介质质,最初涉及恶性瘤. 这一案例突出了SM的重点.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是指放射学
- 病理学 病理学 病理学
背景情况:
- 癌胚抗原 (CEA) 和成像检测结果的升高可以模仿恶性瘤.
- 硬化性中肠炎 (SM) 是一种罕见的疾病,涉及中肠炎症和纤维化.
研究的目的:
- 报告一个最初怀疑是恶性的硬化性介肠炎病例.
- 讨论诊断挑战和无症状MS的保守管理的潜力.
主要方法:
- 腹部计算机断层扫描 (CT) 和对比度增强CT.
- 18F-氧葡萄糖正子发射断层扫描 (FDG-PET) /CT.
- 探索性腹腔切除术与活检.
主要成果:
- 图像检测显示了一个有异常形态的化介质质量.
- 活检证实了硬化性介肠炎,而不是恶性瘤.
- 在没有治疗的情况下,患者在3.5年内保持无症状,体重稳定.
结论:
- 硬化性中炎可能具有良性临床过程.
- 保守的管理可能适合选择无症状的SM患者.
- 从恶性瘤区分SM需要一个多学科的方法.
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