在尾炎管理的多中心注册表中的偶然尾瘤
Aksel D Laudon1, Brendin R Beaulieu-Jones1, Swetha Duraiswamy2
1Department of Surgery, Boston University Chobanian & Avedisian School of Medicine, Boston, MA.
Surgery
|November 19, 2025
概括
在1.3%的患者中发现了偶然的尾瘤,随着年龄的增长而增加. 老年患者 (40岁以上) 可能受益于随访检测,因为瘤的风险.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 病理学 病理学 病理学
背景情况:
- 尾炎的非手术治疗正在上升,人们越来越担心错过的尾瘤.
- 描述偶然的尾瘤对于患者护理和管理策略至关重要.
研究的目的:
- 为了确定偶然尾瘤的发病率,组织学亚型和风险因素.
- 为临床决策提供有关尾炎患者非手术治疗和随访的信息.
主要方法:
- 在6家美国医院 (2012-2014,2018-2021) 接受1822名急性尾炎成年患者的回顾性队列研究.
- 排除患有手术前疑似尾质量的患者.
- 主要结局:在尾切除术时确定偶发的尾瘤;患者特征在组之间进行比较.
主要成果:
- 在1.3%的患者 (24/1822) 中检测到偶发性瘤,在老年人群中发病率更高 (4.8%的患者≥70岁).
- 神经内分泌瘤是最常见的亚型 (33.3%),其次是粘膜性瘤和状腺瘤.
- 瘤的存在与年龄较大 (49岁与34岁) 相关,但与尾炎的临床严重程度无关.
结论:
- 偶然的尾瘤与晚年有关,而不是尾炎的严重程度.
- 对于某些患者,可以考虑非手术治疗,但必须讨论瘤风险.
- 考虑对40岁以上的尾炎患者进行后续检测.
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