在炎症性肠道疾病中罕见地发现了直肠状转化症
Sangkyu Noh1, Franklin Liu1, Samuel H Cheong1
1Internal Medicine, University of Arizona College of Medicine - Tucson, Tucson, AZ.
ACG case reports journal
|January 20, 2025
概括
直肠状形质形成症是炎症性肠病 (IBD) 中的一种罕见疾病. 在高风险IBD患者中,监测发育障碍和考虑人类乳头瘤病毒 (HPV) 疫苗接种对于预防部平细胞癌 (SCC) 至关重要.
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:
- 直肠状转质症是炎症性肠病 (IBD) 患者的不常见发现.
- 在IBD中慢性炎症增加了转移性组织中恶性转变的风险.
- 人类乳头瘤病毒 (HPV) 涉及甲状腺皮细胞癌 (SCC) 的发展.
研究的目的:
- 在患有IBD (克罗恩病和性结肠炎) 的患者中报告两例直肠形形形质.
- 强调在IBD患者的乳腺状转化症的缺血症监测的重要性.
- 讨论HPV疫苗接种在预防该患者群体门SCC中的作用.
主要方法:
- 病例报告介绍了两名患有IBD和直肠状转化症的患者.
- 关于状元形成症,IBD和门SCC的现有文献的综述.
- 讨论HPV病原和预防策略.
主要成果:
- 在患有克罗恩氏病和性结肠炎的患者中发现了两例直肠形形形成症.
- 恶性转变的风险需要警的扩张不良监测.
- 目前美国的指导方针缺乏针对IBD门SCC的HPV预防的具体建议.
结论:
- 在IBD中,直肠状形质形成症需要仔细监测因恶性转变风险而导致的发育不良.
- 在45岁以下的高风险IBD患者中,应考虑对HPV接种疫苗,以预防门SCC.
- 对于IBD患者的HPV预防,需要进一步的研究和指导方针.
相关概念视频
Inflammatory Bowel Disease II: Crohn's Disease
181
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
181
Inflammatory Bowel Disease I: Ulcerative Colitis
134
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
134
Chronic Bowel Disorders: Introduction
386
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
386
Inflammatory Bowel Disease V: Surgical Management
115
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
115
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
314
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
314
Renewal of Intestinal Stem Cells
2.5K
The intestinal epithelial lining rapidly renews every 4 to 5 days. The renewal is facilitated by intestinal stem cells (ISCs) located at the base of the crypt– a gland located at the bottom of each villus. ISCs divide asymmetrically to form new stem cells and progenitor daughter cells. The daughter cells are called transit-amplifying (TA) cells which move upwards along the crypt and either differentiate into absorptive cells– the enterocytes or secretory cells– including the...
2.5K


