结直肠的粘性腺癌伪装成炎症性肠道疾病-一个病例报告
Jin-Liang Zhu1, Hong-Jian Gao1, Li-Hua Wang2
1Department of Gastrointestinal and Anal Diseases, Shenyang Coloproctology Hospital, Shenyang, 9 North Nanjing Street, Heping District, 110001, China.
Journal of surgical case reports
|September 26, 2025
概括
诊断直肠粘膜腺癌 (MAC) 可能很困难,特别是当被误认为是炎症性肠病 (IBD) 时. 有针对性的深度活检提高了对具有挑战性的直肠质量的诊断准确度.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 在瘤学瘤学.
背景情况:
- 粘性腺癌 (MAC) 的诊断是具有挑战性的,经常与炎症性肠病 (IBD) 或良性疾病混.
- 一名69岁的女性患有慢性便秘被误诊为IBD,在梅萨拉治疗后症状持续.
研究的目的:
- 为了突出直肠粘膜腺癌的独特表现.
- 在模糊的情况下强调诊断策略,以区分MAC和IBD.
主要方法:
- 一个具有挑战性的临床病例的审查,涉及直肠质量.
- 讨论组织病理学发现和诊断局限性.
- 提议加强采样策略:多点和有针对性的深度活检.
主要成果:
- 确定了一种特定的直肠MAC呈现.
- 在模仿IBD的直肠群体中不确定的组织病理学需要先进的诊断方法.
- 针对关键解剖学里程碑的深度活检显著提高了诊断准确度.
结论:
- 带有光滑表面和有限的投射的直肠质量需要考虑MAC.
- 高灵敏度分析和先进的采样技术对于准确分类模两可的直肠病理至关重要.
- 实施多点和有针对性的深度采样可以提高病理生物学评估和诊断精度.
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