在为性结肠炎进行修复性结肠直肠切除术30多年后检测到阴囊癌
Tetsuhiro Urashima1, Kenji Tatsumi1, Nao Obara1
1Department of Inflammatory Bowel Disease (IBD), Yokohama Municipal Citizen's Hospital, Yokohama, Kanagawa, Japan.
Surgical case reports
|March 18, 2025
概括
皮质囊癌很少见,但在性结肠炎 (UC) 的恢复性直肠切除术 (proctocolectomy) 几十年后可能发生. 定期内镜监测对于早期检测和成功治疗这种罕见并发症至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 结肠直肠手术 结肠直肠手术
背景情况:
- 性结肠炎 (UC) 的标准手术治疗包括用伊利奥口袋解剖术 (IPAA) 进行直肠切除术.
- 在UC手术后在阴道囊中发展的癌症并不常见,没有确立的监测指南.
- 这一案例突出显示了一种罕见的状囊癌,该癌症在IPAA后33年被诊断出.
研究的目的:
- 报告一个患有乳腺囊癌的病例.
- 强调在IPAA之后对UC的长期监测的重要性.
主要方法:
- 一位患有UC和IPAA病史的患者呈现了便隐性血液.
- 镜检查显示了渐进性病变,最初被诊断为低度发育不良 (LGD).
- 随后的内镜和病理检查证实了腺癌,导致手术切除.
主要成果:
- 在用IPAA治疗UC的恢复性直肠切除术后33年,伊利尔囊癌被诊断为UC.
- 患者接受了囊切除和解剖,术后阶段为pT3N0M0.0.
- 患者在手术后6个月内仍然没有复发.
结论:
- 皮质囊癌虽然很少见,但可以在UC的IPAA后很长时间表现出来.
- 建议进行内镜监测,以早期检测,特别是在UC发病后10年内.
- 及时诊断和彻底切除是管理这种罕见并发症的关键.
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