穿孔尾粘菌瘤与长期进展到Pseudomyxoma Peritonei在老年患者:一个病例报告
Mohamed Saifaldin Eltayieb Mohamed1, Doaa Mahmoud Akasha Mohamed2, Mahmood Dardas3
1Acute Medicine, Surrey and Sussex Healthcare NHS Trust, Redhill, GBR.
Cureus
|December 18, 2025
概括
穿孔的低度尾粘膜性瘤 (LAMNs) 可以进展到状瘤 (PMP). 长期监测对于检测这种缓慢但稳定的进展至关重要,特别是在老年患者中.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 手术病理学手术病理学
背景情况:
- 低度尾粘膜瘤 (LAMNs) 是罕见的,可能呈现为尾粘膜.
- 这些粘膜的穿孔带有粘素传播的风险,导致膜形瘤 (PMP).
研究的目的:
- 在老年患者中报告一个穿孔的LAMN进展到PMP的病例.
- 突出长期监测和个性化管理穿孔LAMNs的重要性.
主要方法:
- 一个83岁的女性患有尾粘膜细胞的病例报告.
- 诊断成像 (CT),腹腔镜尾切除术和组织病理学分析.
- 长期临床和放射监测超过两年半.
主要成果:
- 组织病理学证实了一个穿孔的pT4a LAMN与传播的粘真菌.
- 在监测期间,观察到渐进的腹内粘素积累和门结.
- 放射学发现表明PMP具有大体积的结和增强隔膜.
结论:
- 穿孔的LAMNs可能会表现出缓慢而渐进的PMP进程.
- 长期监测对于检测进展至关重要.
- 应根据患者的偏好,年龄和手术风险量身定制治疗方法,高度怀疑尾粘膜的恶性瘤.
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