使用甲蓝基亚粘膜注射,在内镜活检采样后,在结肠中发现残留的神经内分泌瘤
Weina Jing1,2, Yuxiang Chen1,2, Kai Deng1,2
1Department of Gastroenterology & Hepatology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
iGIE : innovation, investigation and insights
|February 6, 2026
概括
使用甲蓝注射的新技术帮助在初始活检后定位和切除一个微小的,残留的神经内分泌瘤 (NET). 这种方法有助于识别难以发现的胃肠病变.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 神经内分泌瘤 (NETs) 是一种罕见的瘤.
- 活检后准确地定位残留的瘤可能是由于愈合而具有挑战性的.
- 内镜超声波 (EUS) 和放大内镜可能并不总是足以准确定位.
研究的目的:
- 描述一种用于定位难以识别的残留直肠神经内分泌瘤 (NET) 的技术.
- 为了证明使用下甲蓝注射成功去除一个小的,残留的NET.
主要方法:
- 结肠镜检查和活检发现了初始的直肠NET.
- 活检部位完全愈合后,进行了甲蓝的下注射.
- 使用放大内镜,根据下粘膜下染料标记物识别病变.
主要成果:
- 最初,即使使用先进的内镜技术,也很难定位残留的NET.
- 下甲蓝注射成功地暴露了残留的病变.
- 剩余的NET,测量1.5 x 0.5毫米,已成功切除.
结论:
- 下甲蓝注射是一种有效的方法,用于定位难以捉摸的残留胃肠病变.
- 这种技术可以提高内镜切除成功率的小,复发性瘤.
- 精确的局部化对于彻底去除瘤和改善患者治疗结果至关重要.
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