胃区域淋巴结转移从未知主部位的状细胞癌:一个病例报告
Toshiaki Komo1, Yoichi Sugiyama1, Takaaki Suwa1
1Department of Surgery, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan.
Surgical case reports
|February 13, 2026
概括
从未知初级部位的癌症转移到胃淋巴结的转移是罕见的. 手术切除受影响的节点,即使不确定主要瘤,也可以被视为完全切除.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 病理学 病理学 病理学
背景情况:
- 未知主部位的癌症 (CUP) 是一种转移性瘤,在彻底调查后,其起源仍然未被确定.
- 胃区域淋巴结的转移在CUP中并不常见.
研究的目的:
- 报告一种罕见的状细胞癌转移到胃淋巴结的罕见病例,来自未知主部位的癌症.
- 讨论这种罕见表现的诊断和治疗含义.
主要方法:
- 一名75岁的女性出现了胃下粘膜瘤.
- 由于含糊不清的细胞学,诊断是具有挑战性的;进行了带有淋巴结解剖的开放式近道胃切除术.
- 组织病理学揭示了状细胞癌在胃淋巴结中的转移,主要部位仍未确定.
主要成果:
- 瘤被确定为状细胞癌的淋巴结转移,主要位于胃壁外,但涉及胃壁和胰腺.
- 尽管进行了广泛的调查,但无法确定主要瘤在头部和部,食道或肺部.
- 该患者在手术后接受了尼沃卢马布,并且在7个月内一直没有复发.
结论:
- 从未知初级部位的癌症转移到胃淋巴结的转移代表了一个罕见的临床实体.
- 在这些情况下,即使没有确定主要病变,也可以将涉及淋巴结的完整手术切除视为相当于R0切除.
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