在患有临床异常尾患者中,瘤诊断的发生率和预测因素
Tina Gowda1, Nicole Aguirre1, Mostafa Mohamed1
1Colorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Annals of surgical oncology
|February 20, 2026
概括
新生病常见于通过成像或内镜检测到的尾异常,超过一半的病例显示癌症. 诊断性尾切除术是这些发现的有效管理策略.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 偶尔会发现除了急性尾炎之外的尾异常.
- 这些病例中潜在瘤的发生频率尚不清楚.
- 这项研究调查了尾异常中瘤疾病的发生率.
研究的目的:
- 为了确定尾异常患者中瘤疾病的发病率.
- 为了确定与尾瘤相关的成像和内镜检测结果.
- 为了评估诊断尾切除术的有效性.
主要方法:
- 对132名接受诊断性尾切除术 (2011-2021) 的患者进行了回顾性审查.
- 排除患有急性尾炎,腹癌或已知的恶性病变的患者.
- 在瘤和非瘤组之间比较放射,生化和结肠镜检测结果.
主要成果:
- 在52%的病例中发现了新发性疾病 (68/132).
- 新生体与囊性质 (77%),化 (75%) 和尾扩张 (63%) 有关.
- 确定了风险组:高 (囊性质,77%的瘤),中度 (42%的瘤) 和低 (炎症变化,0%的瘤).
结论:
- 瘤病理在尾异常中经常出现,转移到癌症中心.
- 诊断性尾切除术是诊断和治疗的有效策略.
- 调查结果支持对可疑的尾病变进行尾切除术.
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