炎症性纤维瘤多体 (瓦内克瘤):对67例病例的回顾性多中心分析
Mario Martín Sánchez1, Víctor Domínguez-Prieto1, Siyuan Qian Zhang1
1Department of Surgery, Fundación Jiménez Díaz University Hospital, Avenida de los Reyes Católicos 2, 28040 Madrid, Spain.
Cancers
|April 14, 2025
概括
炎症性纤维细胞聚体 (IFP) 是一种罕见的胃肠道瘤. 内镜切除对于大多数IFP是有效的,但小肠瘤往往需要手术,特别是阻塞.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 在瘤学瘤学.
背景情况:
- 炎症性纤维细胞聚体 (IFP),也称为Vanek瘤,是肠道的罕见良性瘤.
- 病因不确定,有建议与炎症和遗传因素的联系.
研究的目的:
- 为了呈现迄今为止最大的IFP案件队列.
- 分析IFP的临床表现,诊断方式和治疗策略.
- 确定影响治疗结果的因素.
主要方法:
- 67名被诊断为IFP的患者 (2013-2023) 的回顾性多中心分析.
- 收集关于瘤位置,大小,症状和治疗的数据.
- 使用非参数测试来评估关联的统计分析.
主要成果:
- 胃是最常见的部位 (47.8%),其次是结肠 (32.8%).
- 大多数患者 (73.1%) 无症状;9%出现肠道阻塞 (全部在小肠中).
- 内镜切除取得了77.6%的成功;小肠瘤更频繁地需要手术,特别是那些有阻塞或更大的瘤.
结论:
- 内镜切除是胃和结肠中的IFP的主要治疗方法.
- 小肠 IFPs,特别是那些因阻塞而复杂的,需要手术干预.
- 瘤的大小,紧急呈现和肠道位置与手术的需要有关.
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