十二指甲膜粘膜-亚粘膜延长型息肉异常快速生长:一个病例报告
1Department of Gastroenterology, Affiliated Jinhua Hospital of Wenzhou Medical University, Jinhua People's Hospital, Jinhua 321000, Zhejiang Province, China. yangyi_0325@163.com.
World journal of gastrointestinal surgery
|November 3, 2025
概括
粘膜下粘膜延长型聚合体 (MSEP) 是一种罕见的十二指腺病变. 这一案例突显了MSEP的快速增长,强调了内镜监测和干预的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 胃肠道病理 胃肠道病理
背景情况:
- 粘膜下粘膜延长型聚合体 (MSEP) 是一种罕见的良性胃肠病变.
- 通常在结肠中发现,MSEP很少在小肠中观察到,通常生长缓慢且无症状.
- 十二指肠MSEP迅速扩大不常见,可以模仿瘤状况.
研究的目的:
- 报告一个罕见的情况快速扩大的粘膜-下粘膜延长的多体在十二指肠.
- 为强调内镜监测十二指甲状腺息肉的重要性.
主要方法:
- 一名64岁的女性出现了恶心和腹痛.
- 图像检查和内镜检查显示,与之前的检查相比,十二指肠多显著扩大 (10厘米).
- 聚被通过内镜下膜剖析切除,并通过遗传病理学确认为MSEP.
主要成果:
- 组织病理学证实了病变是粘膜下粘膜延长型多体,没有恶性病变.
- 患者经历了成功的内镜下层剖析,以完成切除.
- 一年后的随访内镜检查显示,十二指甲状腺多没有复发.
结论:
- 粘膜下粘膜延长型息肉,虽然通常是良性的,但可以表现出快速增长.
- 这一案例强调了内镜监测和及时干预在管理十二指腺息肉的关键作用.
- 早期检测和管理对于预防并发症和确保十二指肠病变的准确诊断至关重要.
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