[一种来自门的西格体结肠癌病例]
Miho Okano1, Akinobu Yasuyama, Takeo Hara
1Dept. of Surgery, Kaizuka City Hospital.
Gan to kagaku ryoho. Cancer & chemotherapy
|February 26, 2026
概括
一个罕见的Sigmoid结肠粘液癌的病例穿透到膀成功切除在一个老年妇女. 这种盆腔瘤需要进行广泛的手术,但在18个月后没有复发,导致了有利的结果.
科学领域:
- 胃肠病学 胃肠病学
- 妇科瘤学 妇科瘤学
- 尿道瘤学 尿道瘤学
背景情况:
- 盆腔质量可以呈现复杂的症状,包括尿道问题和腹部张.
- 区分初级膀瘤和来自邻近器官 (如结肠) 的瘤可能是一项挑战.
- 大的盆腔瘤可能会阻碍邻近的结构,需要先进的诊断和手术方法.
研究的目的:
- 报告一种罕见的粘液癌病例,起源于一个穿孔到膀的sigmoid结肠分离体.
- 为了突出一个大,侵入性的骨盆体质所带来的诊断和手术挑战.
- 为了证明块切除的可行性和在选定的老年患者中取得有利的结果.
主要方法:
- 用对比度增强的CT和MRI进行了盆腔质量及其与周围器官的关系的详细成像.
- 试图进行结肠镜检查,但由于瘤的大小,没有成功.
- 手术管理涉及瘤的阻断切除,包括sigmoidectomy,子宫切除和部分囊切除.
主要成果:
- 图像检查显示,一个8厘米的盆腔质量与西格结肠接触,并穿孔到膀.
- 组织病理学证实了瘤是来自西格结肠分离体的粘液癌,尽管它似乎起源于膀光线.
- 该患者经历了成功的阻断切除,并在手术后18个月内保持无复发状态.
结论:
- 西格结肠的粘膜癌可以呈现为带有膀参与的盆腔质量,模仿一次性膀瘤.
- 在老年患者中,对这种复杂的盆腔瘤进行封锁切除是一种可行的手术策略.
- 早期诊断和积极的手术管理甚至在晚期病例中也可以带来有利的结果.
更多相关视频
相关概念视频
01:25Endoscopic Procedures II: Colonoscopy
910
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
910
01:21Inflammatory Bowel Disease V: Surgical Management
780
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
780
01:25Assessment of the Rectum and Anus
1.5K
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
1.5K
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
1.3K
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
1.3K
01:26Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
512
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
512
01:09Large Intestine
5.6K
The large intestine is divided into three main regions: the cecum, colon, and rectum. Extending from the ileocecal valve to the anus, it frames the small intestine on three sides.
The ileocecal sphincter, a mucous membrane fold, guards the opening from the ileum to the large intestine. This valve permits material from the small intestine to pass into the large intestine. Attached to the ileocecal valve is the cecum. This small pouch, approximately 6 cm long, has a twisted, coiled tube known as...
The ileocecal sphincter, a mucous membrane fold, guards the opening from the ileum to the large intestine. This valve permits material from the small intestine to pass into the large intestine. Attached to the ileocecal valve is the cecum. This small pouch, approximately 6 cm long, has a twisted, coiled tube known as...
5.6K