结直肠转移导致高度尿癌的结直肠收缩
Hassan Chamas1,2, Brian Hoffmann2, Jonathan Millard3
1Medicine, Edward Via College of Osteopathic Medicine, Blacksburg, USA.
Cureus
|March 24, 2025
概括
本案例报告强调了一种罕见的尿路细胞癌转移到直肠的例子. 早期的直肠症状掩盖了潜在的膀癌,强调需要考虑直肠质量差异中的转移.
科学领域:
- 在瘤学瘤学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 胃肠病学 胃肠病学
背景情况:
- 尿路癌起源于尿路内.
- 常见的转移部位包括淋巴结,骨,肝脏和肺部.
- 来自尿路癌的直肠转移异常罕见.
研究的目的:
- 报告一个独特的尿路细胞癌病例,呈现直肠转移.
- 强调在直肠质量诊断中考虑转移的重要性.
- 为了突出延迟的尿路症状呈现.
主要方法:
- 一个62岁的男性患者的病例报告.
- 诊断成像:CT腹部/骨盆与IV对比,MRI骨盆与/没有对比.
- 程序:带有活检的直肠内镜超声波 (EUS),膀瘤的尿道外切除 (TURBT).
主要成果:
- 患者出现了便秘,流,围疼痛和直肠质块.
- 图像检查显示了广泛的直肠壁加厚和盆腔淋巴腺病变.
- 活检证实了直肠中的高度转移性尿路细胞癌; TURBT证实了膀癌.
结论:
- 这种病例表明尿路细胞癌转移到直肠,最初呈现直肠症状.
- 尿路症状的延迟发作可能发生在转移性膀癌中.
- 对直肠质量的差异诊断应包括转移性疾病,即使没有最初的尿路投诉.
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