胃氧化腺腺瘤被错误诊断为多发性息肉:一个病例报告
Rui-Xiang Xue1, Xin-Yu Lu2, Pei Deng3
1Department of Gastroenterology, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing 100078, China.
World journal of gastrointestinal oncology
|September 22, 2025
概括
胃氧化腺腺瘤可能被误诊. 深度活检或完全切除对于准确的诊断至关重要,随后进行长期内镜监测以防止延迟.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 胃氧化腺腺瘤是一种罕见的瘤.
- 它经常被错误地诊断为超塑性或性腺息肉.
- 非特定的内镜特征和表面活检局限性导致诊断延迟.
研究的目的:
- 为了突出胃氧化腺腺瘤的诊断挑战.
- 强调适当的活检技术和切除的重要性.
- 为这种罕见的疾病推监测策略.
主要方法:
- 一个47岁的男性患有胃病变的病例,最初通过表面活检诊断为多重塑性息肉.
- 病变在两年内扩大,在内镜超声波上显示了令人担忧的特征.
- 进行了内镜下膜剖析,导致胃氧化腺腺瘤的正确诊断.
主要成果:
- 最初的表面活检导致胃氧化腺腺瘤的错误诊断为过度增生.
- 内镜下膜剖析证实了腺瘤.
- 手术切除实现了负边际,在三年后续期间没有复发.
结论:
- 深度活检或完全切除是必要的,以准确诊断胃氧化腺腺瘤.
- 建议在切割后进行长期内镜监测.
- 提高临床警对于减轻误诊风险至关重要.
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