一个年轻患者的尾神经内分泌瘤转移
Fariha Hasan1, Amir Davoodi2, Amy Bordogna2
1Department of Internal Medicine, Cooper University Hospital, Camden, NJ, USA.
SAGE open medical case reports
|August 29, 2025
概括
尾神经内分泌瘤是罕见的 一个年轻的病人
科学领域:
- 胃肠病学
- 癌症学
- 病理学
背景情况:
- 尾神经内分泌瘤 (aNET) 是罕见的,占恶性瘤的< 1%.
- 在美国,每年1到2万人患上尾癌.
- 在美国,aNET的发病率估计为7/100,000人/年.
研究的目的:
- 一个19岁的女性患有尾神经内分泌瘤 (二级) 和转移性疾病.
- 要强调aNET的诊断复杂性和非典型表现.
- 强调组织病理学评估和多学科管理的重要性.
主要方法:
- 一个19岁的女性出现右下象限疼痛.
- 诊断工作包括先进的成像显示尾粘膜.
- 手术干预 (尾切除,然后右侧尾切除) 和组织病理学分析.
主要成果:
- 组织病理学证实了一个分化良好的尾神经内分泌瘤 (二级) 与淋巴血管侵袭.
- 在27个淋巴结中,有6个淋巴结发生转移.
- 患者在手术后的后续检查中失败了.
结论:
- 尾神经内分泌瘤存在诊断上的挑战,
- 瘤的大小,等级和组织病理学对于指导治疗至关重要.
- 对于长期的结果,警的随访是必不可少的,特别是在年轻患者中.
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