40.286名成年人的尾病理的流行病学和病理学谱:土耳其 (2017-2025) 的多中心研究 (2017-2025)
Hikmet Pehlevan Özel1, Alparslan Ertenlice2,3, Sadettin Er2
1Department of General Surgery, Ankara Bilkent City Hospital, District of Universities, 1604 St. No: 9, Ankara, Çankaya, Türkiye. hikmet.pehlevan@gmail.com.
概括
对尾切除样本的常规组织病理学检查对于检测偶然的瘤至关重要,特别是在老年患者中. 这项大型土耳其研究强调了病理学在识别尾病理和指导患者护理方面的不可或缺的作用.
科学领域:
- 胃肠病学和外科病理学
背景情况:
- 尾炎是一种常见的手术紧急情况,需要尾切除.
- 尾切除样本的组织病理学检查对于识别偶然的瘤和非瘤性病变至关重要.
- 有限的大规模,多中心数据存在于土耳其的尾组织病理学.
研究的目的:
- 分析尾切除样本中形病理学发现的频率,分布和临床人口统计相关性.
- 为了确定尾切除样本中偶然瘤的发生率.
- 在一大批土耳其人中建立对尾病理的全面理解.
主要方法:
- 一项多中心回顾性研究,涉及来自15家土耳其医院的40,286例成年尾切除病例 (2017-2025年).
- 组织病理学发现被分为五大类.
- 评估了人口结构和时间趋势,重点关注瘤发病率.
主要成果:
- 尾炎是最常见的发现 (86.7%),其次是非新生病变 (6.8%) 和新生病 (1.7%).
- 瘤发病率随着年龄的增长而显著增加,从20多岁患者的0.8%上升到80岁及以上患者的14%.
- 粘菌性瘤 (0.7%) 和神经内分泌瘤 (0.5%) 是最常见的瘤发现,女性的发病率更高.
结论:
- 尾切除样本的组织病理学检查对于检测偶然的瘤是不可或缺的,特别是在老年人中.
- 这些发现支持对所有尾切除样本进行常规的组织病理学检查.
- 建议提高对尾瘤的认识,特别是在老年患者群体中.
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