诊断内镜切除作为1-2级十二指甲神经内分泌瘤的第一线治疗:一项回顾性研究
Cheol Min Lee1, Cheol Woong Choi1, Dae Gon Ryu1
1Department of Internal Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.
Scandinavian journal of gastroenterology
|July 28, 2025
概括
内镜切除是一种安全有效的第一线治疗十二指肠神经内分泌瘤 (NETs) 的1级和2级. 这种方法,特别是结合辅助内镜粘膜切除,提供了高的完全切除率,避免了不必要的手术.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 内镜检查是指内镜检查.
背景情况:
- 十二指甲神经内分泌瘤 (NETs) 经常在内镜检查期间偶然发现.
- 手术切除是当前的标准,但对于低度瘤的内镜切除的作用仍在争论中.
研究的目的:
- 评估内切除1级和2级十二指肠网的可行性和结果.
- 评估内镜切除作为潜在的第一线治疗方法.
主要方法:
- 40名患有1级或2级十二指甲网的患者的回顾性审查.
- 对临床,内镜和组织病理学数据的分析,包括切除方法和结果.
主要成果:
- 90%的瘤是1级,其中80%<10mm.
- 内镜切除在28名患者中实现了100%的R0切除,其中有一个轻微的并发症.
- 在平均59个月的随访期间,没有观察到转移或复发.
结论:
- 内镜切除是一种安全有效的选择,用于选定的1级和2级十二指甲网.
- 结合辅助内镜粘膜切除适用于亚厘米的病变.
- 诊断内镜切除可以帮助避免不必要的手术.
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