尾结环细胞癌的诊断成像中的挑战:一个案例报告
Gao Jinling1, Xia Hongsheng1, Fu Yuanjun2
1Department of Ultrasound, Hangzhou Third People's Hospital, Hangzhou Third Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, China.
Journal of clinical ultrasound : JCU
|November 21, 2025
概括
尾结点环细胞癌 (ASRC) 是一种罕见的,攻击性的癌症,经常被误认为是尾炎. 识别连续成像中的渐进变化对于早期诊断这种具有挑战性的恶性瘤至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 尾结环细胞癌 (ASRC) 是一种罕见的胃肠道恶性瘤.
- ASRC通常表现为非特异性症状,模仿尾炎并延迟诊断.
研究的目的:
- 报告一个诊断上具有挑战性的ASRC病例.
- 要突出成像的局限性和ASRC的主要歧视性特征.
主要方法:
- 一个75岁的妇女的病例报告,患有反复出现的腹痛.
- 使用序列超声波和计算机断层扫描 (CT) 进行诊断.
- 通过手术内发现和组织病理学证实诊断.
主要成果:
- 最初的成像显示慢性尾炎,尽管墙壁显著变厚.
- CT显示了囊扩张与壁面结节增强.
- 组织病理学证实了高度的尾粘膜性瘤与密封环细胞癌.
结论:
- 传统的成像在检测ASRC方面存在局限性,特别是在粘膜成分方面.
- 序列成像的逐步变化是区分ASRC和尾炎的关键.
- 像快速墙壁加厚和壁画增强等功能有助于诊断.
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