[与性结肠炎相关的癌症与下瘤相似 - 一个病例报告]
Motoaki Iga1, Yoshifumi Shimada, Hikaru Ozeki
1Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences.
Gan to kagaku ryoho. Cancer & chemotherapy
|January 17, 2026
概括
一名患有性结肠炎的患者患上了直肠癌,呈现为狭窄性病变. 早期检测和机器人辅助手术导致成功治疗,没有复发迹象.
科学领域:
- 胃肠道学和瘤学
- 结肠直肠手术 结肠直肠手术
背景情况:
- 性结肠炎 (UC) 是一种慢性炎症性肠病,增加了结肠直肠癌的风险.
- 在UC患者中区分慢性炎症和恶性瘤可能具有挑战性,特别是在非典型呈现的情况下.
研究的目的:
- 在患有长期性结肠炎的患者中报告直肠癌病例.
- 要突出诊断挑战和成功管理的直肠下粘膜瘤类病变.
主要方法:
- 一个63岁的男性患有性结肠炎的案例介绍.
- 诊断工作包括结肠镜检查,活检,18F-氧葡萄糖正子发射断层扫描 (FDG-PET) 和瘤标记分析 (癌胚抗原).
- 通过机器人辅助的前下切除术进行手术管理,然后进行组织病理学检查.
主要成果:
- 结肠镜检查显示了狭窄性直肠病变,带有下膜瘤状的突起.
- 最初的活检对瘤没有确定性,但FDG吸收和CEA水平上升表明恶性瘤.
- 术后病理证实了与性结肠炎 (UC-III) 相关的侵袭性直肠癌.
- 患者在手术后2年没有出现疾病复发的证据.
结论:
- 结肠直肠癌可以在性结肠炎患者中呈现异常,模仿炎症病变.
- 多模式诊断方法对于准确的诊断至关重要.
- 机器人辅助手术为UC患者的直肠癌提供了可行的治疗选择,取得了良好的结果.
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