小肠腺癌呈现内部高回声:一个病例报告
1Department of Surgery, Kishiwada Tokushukai Hospital, Kishiwada, JPN.
Cureus
|August 18, 2025
概括
在一名82岁的女性中诊断出一种罕见的源自阴茎分离体的阴茎腺癌,这是一种罕见的阴茎腺癌. 超声波中的内部高回声是这种小肠瘤的关键诊断线索.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 病理学 病理学 病理学
背景情况:
- 小肠瘤很罕见,小肠腺癌,特别是来自分泌体的小肠腺癌是非常罕见的.
- 精确的小肠瘤手术前诊断可能是具有挑战性的,因为它们的位置和各种表现.
研究的目的:
- 报告一例由阴茎分离体引起的阴茎腺癌.
- 突出超声波发现在识别这些罕见瘤的诊断实用性.
主要方法:
- 一个82岁的女性出现吐的案例研究.
- 诊断成像包括CT,超声波和PET扫描.
- 手术切除和用免疫组织化学的组织病理学检查.
主要成果:
- CT显示了一个异质增强的质量与洞穴;超声波显示了一个周围的质量与内部高回声.
- 病理学证实了中度差异化的结核腺癌,来自没有异位组织的结核分离体.
- 免疫抑制结果 (CK7+,CDX2+,MUC5AC部分+,CK20-) 与腺癌相一致.
结论:
- 皮质腺癌可能来自皮质分离体,这对诊断提出了挑战.
- 超声波中的内部高回声可以成为区分小肠瘤的关键诊断线索,包括小肠腺癌.
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