炎症性超塑性质量模仿局部复发后内镜下粘膜解剖的结肠腺瘤
Isiah Gonzalez1, Linda K Green2, Salmaan Jawaid3
1Department of Medicine, Baylor College of Medicine, Houston, TX.
ACG case reports journal
|February 18, 2025
概括
一个结肠直肠多切除部位开发了高增多性炎症质量,而不是复发. 这种罕见的现象可能与肝硬化,CHEK2突变和胃息肉有关.
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:
- 一名患有肝硬化和CHEK2突变的65岁男子接受了内镜切除,以检查大结直肠多.
- 最初的病理学证实了带有明显边缘的管状腺瘤 (R0).
研究的目的:
- 在监测期间,调查在结直肠腺瘤切除部位发现的质量.
- 为了确定质量是否代表了局部复发或不同的病理.
主要方法:
- 混合内镜下膜剖析用于切除聚.
- 用窄带成像和近焦放大器进行结肠镜监测.
- 活检样本的组织病理学分析.
主要成果:
- 切除部位的质量最初被怀疑是局部复发.
- 结肠镜检查显示了一种炎症质,具有Kudo II型高增多性坑道图案.
- 活检证实了一种炎症性超塑性聚体,后者后来缩小.
- 门高血压,CHEK2突变和并发性胃息肉等因素被认为是潜在的贡献者.
结论:
- 这种质量被确定为一种良性炎症性多发性息肉,而不是恶性复发.
- 这一案例突出了结直肠外科手术中罕见的切割后现象.
- 确定了对这种高可塑性反应有潜在影响的因素.
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