深层囊性结肠炎:一个系统审查
Thomas Stirrat1, Deeptha Bejugam1, Joseph Alukal2
1School of Medicine, Georgetown University.
European journal of gastroenterology & hepatology
|January 28, 2026
概括
深肠囊性结肠炎 (CCP) 是一种罕见的良性结肠直肠病变,模仿癌症. 诊断需要深度活检和高级成像,器官保存手术提供良好的结果.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 病理学 病理学 病理学
背景情况:
- 囊性深肠炎 (CCP) 是一种罕见的良性结肠直肠病变,可以被误认为是恶性瘤.
- 准确的诊断和管理是至关重要的,因为它有可能模仿癌症.
研究的目的:
- 系统地审查病例报告和组织学证实CPC的系列.
- 定义CCP的流行病学,表现,诊断方法,管理策略和结果.
主要方法:
- 按照PRISMA 2020指南进行系统审查.
- 在 Embase,PubMed/MEDLINE,Web of Science 和 CINAHL (1965-2025) 中进行了搜索.
- 两位评论员独立选了研究,并从65项研究中提取了92名患者的数据.
主要成果:
- 最常见的症状包括直肠出血 (70%) 和粘液排泄 (32%).
- 表面活检经常导致采样错误;EUS和横截面成像是诊断的关键.
- 在67%的病例中进行了手术,常见的是器官保存局部切除.
结论:
- CCP是一种罕见但显著的结直肠癌模仿.
- 优化诊断包括深层组织采样和高分辨率成像.
- 器官保存内镜或局部切除提供持久的症状解决与低发病率.
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