胃哈马托马型倒置息肉体具有高的内部回声:一个病例报告
Hironori Tanaka1, Shoji Oura2, Naoki Kataoka2
1Department of Gastroenterology, Kishiwada Tokushukai Hospital, Kishiwada-city, Japan.
Radiology case reports
|November 11, 2024
概括
这项研究确定了一种罕见的胃哈马托马图斯倒置多重体 (GHIP),模仿了下粘膜瘤. 使用内镜超声波将GHIP与其他胃病变区分开来,对于准确的诊断和治疗至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 医疗成像医学成像
背景情况:
- 胃病变升高可能会带来诊断挑战.
- 粘膜下瘤和炎症性纤维瘤多是常见的差分诊断.
- 准确的手术前诊断对于适当的管理至关重要.
研究的目的:
- 描述胃哈马托马图斯倒置多体 (GHIP) 的临床病理特征.
- 使用成像方式,区分GHIP与其他胃下粘膜病变.
- 突出内镜超声波在诊断GHIP中的重要性.
主要方法:
- 一个有胃病变的58岁妇女的案例介绍.
- 诊断程序包括胃镜检查,计算机断层扫描和内镜超声波检查.
- 进行了细针吸收活检和术后病理检查.
- laparoscopy endoscopy合作手术被用来进行病变的去除.
主要成果:
- 内镜超声波显示出一个带有明显边界的球状瘤,高的内部回声,没有减弱的后背回声.
- 病理学显示下行粘膜增殖与隐形上皮质过度增生,与GHIP一致.
- 在状细胞中观察到SMA阳性和DOG1/S100阴性.
结论:
- 胃瘤逆转多 (GHIPs) 可以模仿其他胃下粘膜瘤.
- 内镜超声波的特征,特别是高的内部回声和缺少减弱的后背回声,表明GHIP.
- 区分GHIP和纤维瘤对于手术规划和患者的治疗结果很重要.
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