一名51岁男子的下皮脂瘤模仿恶性:常规结肠镜中的诊断挑战
1Department of Gastroenterology, Zhu Jiang Hospital of Southern Medical University, Guangzhou, Guangdong, China.
The American journal of case reports
|August 26, 2025
概括
在结肠镜检查过程中,大肠下质瘤可能会模仿恶性瘤,这会给诊断带来挑战. 这一病例突出了最初被怀疑是恶性脂肪瘤, 但在手术后被证实是良性的.
科学领域:
- 胃肠病学
- 外科病理学
背景情况:
- 大肠的良性粘膜下瘤,如脂质瘤,由于它们在结肠镜中呈现为质量,因此存在诊断上的挑战.
- 这些病变可能被误认为是恶性瘤,使临床评估复杂化.
研究的目的:
- 根据结肠镜检查结果,报告最初怀疑是恶性脂肪瘤的病例.
- 强调诊断难以区分良性和恶性胃肠下粘膜质.
主要方法:
- 一名51岁的男性患者接受了常规结肠镜检查, 发现膜下有.
- 进行了内镜活检,随后进行了腹腔镜右脑切除术,以进一步评估和治疗.
主要成果:
- 经手术后的病理学证实了下质是脂瘤.
- 首次结肠镜检查发现, 包括, 引起恶性瘤的怀疑,
结论:
- 尽管胃肠内镜技术取得了进展,但区分良性和恶性下质仍然是一个临床挑战.
- 良性膜下质,如脂质瘤,可以表现出模仿恶性瘤的结肠镜特征,需要仔细的组织病理评估.
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