一例胃颗粒细胞瘤成功通过腹腔镜和内镜合作手术治疗
Kyoko Arahata1, Sakiko Takarabe1, Kenji Nakamura2
1Department of Gastroenterology, Tokyo Dental College, Ichikawa General Hospital, 5-11-13, Sugano, Ichikawa, Chiba, 272-8513, Japan.
Clinical journal of gastroenterology
|November 22, 2024
概括
腹腔镜和内镜合作手术 (LECS) 有效地治疗了胃颗粒细胞瘤 (GCT). 这种最少的侵入性方法在24个月的随访中实现了完整的切除,并且对于这种胃亚皮质损伤没有复发.
科学领域:
- 胃肠道学和外科瘤学
背景情况:
- 胃颗粒细胞瘤 (GCTs) 是一种罕见的瘤,呈现为亚皮质病变 (SELs).
- 准确的手术前评估入侵深度,特别是在肌肉本身,对于胃SELs仍然具有挑战性.
研究的目的:
- 描述一个胃颗粒细胞瘤 (GCT) 的病例,该病例是通过腹腔镜和内镜合作手术 (LECS) 管理的.
- 评估LECS对胃GCT作为亚皮质病变 (SEL) 的疗效和安全性.
主要方法:
- 一名30岁的男性患有胃亚皮质病变,经过对比度增强的CT,EGD和EUS进行了表征.
- 活检证实了胃GCT,随后进行了腹腔镜和内镜合作手术 (LECS) 的治疗.
- 手术后的病理检查评估了瘤特征和入侵状态.
主要成果:
- 图像检查显示15毫米的粘膜下病变,怀疑肌肉本身的入侵.
- LECS成功切除了胃GCT,病理学证实无侵袭或转移的良性瘤.
- 患者在手术后24个月内仍然没有复发.
结论:
- 腹腔镜和内镜合作手术 (LECS) 是一种潜在的有价值的技术,用于治疗表现为副皮质病变 (SEL) 的胃颗粒细胞瘤 (GCTs).
- 对于在手术前对侵袭深度 (包括肌肉自身侵袭) 的诊断不确定的情况下,LECS可能对病变特别有益.
- 需要进行进一步的研究,以确定胃GCT管理中LECS的最佳切除边缘和指示.
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