乳腺癌复发的唯一表现是直肠线性塑性炎
Pedro Barrera Sánchez1, Óscar Moralejo Lozano2, Diego Muñoz López3
1Gastroenterology and Hepatology, Hospital General Universitario de Toledo, Spain.
一名乳腺癌缓解期的女性患上了直肠膜炎塑性,这是一种罕见的腺癌. 通过内镜超声波和细针活检证实了诊断,强调了对转移性疾病的警随访的重要性.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
背景情况:
- 侵袭性叶状乳腺癌可以在缓解后的几年内转移.
- 结直肠线性塑性炎是转移性腺癌的一个罕见表现.
- 像CA 15-3这样的高瘤标志物可以表明复发.
研究的目的:
- 报告一种继发于侵袭性叶状乳腺癌的直肠线炎塑性病例.
- 突出内超声波 (EUS) 在识别罕见转移性病变方面的诊断挑战和实用性.
- 强调在疑似病例中进行彻底的组织病理学检查的重要性.
主要方法:
- 一个51岁的妇女的病例介绍,她有乳腺癌病史.
- 使用计算机断层扫描 (CT) 扫描和结肠镜检查进行初步评估.
- 使用内镜超声波 (EUS) 进行直肠壁的详细评估.
- 在EUS指导下进行细针活检,以确定组织学诊断.
主要成果:
- 脑电图扫描显示直肠壁变厚,可疑是瘤.
- 结肠镜检查显示了透性粘膜和难以穿越的狭窄性.
- 最初的活检结果对恶性瘤呈阴性.
- 欧盟实验室 (EUS) 证明了与直肠线性塑性炎相一致的发现.
- 组织学分析证实了乳腺起源的腺癌透.
结论:
- 结直肠线性塑性炎可能是侵袭性叶状乳腺癌的晚期表现.
- 在常规方法无法得出结论时,EUS是诊断直肠线性塑性炎的宝贵工具.
- 警的随访和高级成像对于检测罕见的转移性复发至关重要.
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