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成功切除回肠肛管储袋系膜硬纤维瘤且未牺牲储袋:病例报告

Successful resection of an ileoanal pouch mesenteric desmoid without pouch sacrifice: report of a case.

作者信息

Guy R J, Mortensen N J

机构信息

Department of Colorectal Surgery, John Radcliffe Hospital, Headington, Oxford, United Kingdom.

出版信息

Dis Colon Rectum. 2000 May;43(5):713-6. doi: 10.1007/BF02235594.

DOI:10.1007/BF02235594
PMID:10826436
Abstract

PURPOSE

Intra-abdominal desmoid tumors are associated with familial adenomatous polyposis and may compromise ileoanal pouch function after restorative proctocolectomy, particularly if the pouch mesentery is involved. This usually necessitates pouch excision. The aim of this report was to describe the first known case of pouch salvage after surgery for a desmoid tumor arising from the pouch mesentery.

METHODS

The management of a desmoid tumor involving an ileoanal pouch in a 21-year-old female is described and the literature reviewed.

RESULTS

The tumor was successfully excised completely after failed medical therapy, and pouch function was fully preserved.

CONCLUSIONS

This is a unique case highlighting the possibility of pouch salvage when affected by desmoid tumor.

摘要

目的

腹腔内硬纤维瘤与家族性腺瘤性息肉病相关,在直肠结肠切除术后可能损害回肠肛管储袋功能,尤其是当储袋系膜受累时。这通常需要切除储袋。本报告的目的是描述首例因储袋系膜硬纤维瘤手术后成功保留储袋的病例。

方法

描述了一名21岁女性回肠肛管储袋硬纤维瘤的治疗情况,并对文献进行了回顾。

结果

在药物治疗失败后,肿瘤成功完全切除,储袋功能得以完全保留。

结论

这是一个独特的病例,突出了硬纤维瘤影响时保留储袋的可能性。

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1
Successful resection of an ileoanal pouch mesenteric desmoid without pouch sacrifice: report of a case.成功切除回肠肛管储袋系膜硬纤维瘤且未牺牲储袋:病例报告
Dis Colon Rectum. 2000 May;43(5):713-6. doi: 10.1007/BF02235594.
2
Successful low-dose chemotherapy using vinblastine and methotrexate for the treatment of an ileoanal pouch mesenteric desmoid tumor: report of a case.使用长春碱和甲氨蝶呤成功进行低剂量化疗治疗回肠袋系膜硬纤维瘤:病例报告
Dis Colon Rectum. 2004 Feb;47(2):246-9. doi: 10.1007/s10350-003-0025-6.
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Management of desmoid tumors in patients after ileal pouch-anal anastomosis for familial adenomatous polyposis.家族性腺瘤性息肉病患者回肠储袋肛管吻合术后韧带样瘤的管理
Dis Colon Rectum. 1998 Nov;41(11):1350-5; discussion 1355-6. doi: 10.1007/BF02237046.
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Desmoid tumor of the mesentery in a patient after restorative proctocolectomy as a result of familial adenomatous polyposis - case reports.家族性腺瘤性息肉病患者行直肠结肠切除术后发生肠系膜硬纤维瘤——病例报告
Pol Przegl Chir. 2018 May 16;90(3):53-58. doi: 10.5604/01.3001.0011.8171.
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Transperitoneal drainage for a large cystic degeneration after regression of an intra-abdominal desmoid tumor.经腹引流治疗腹腔内硬纤维瘤消退后出现的巨大囊性变。
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Surgical considerations in FAP-related pouch surgery: Could we do better?家族性腺瘤性息肉病相关回肠储袋手术的外科考量:我们能否做得更好?
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Desmoid tumor of mesentery in familial adenomatous polyposis: a case report.家族性腺瘤性息肉病中的肠系膜韧带样瘤:病例报告。
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[Proctocolectomy with ileoanal anastomoses and desmoid tumor treated with resection. One case of familial adenomatous polyposis].[回肠肛管吻合术和硬纤维瘤切除术治疗的直肠结肠切除术。家族性腺瘤性息肉病1例]
Rev Med Inst Mex Seguro Soc. 2014 Sep-Oct;52(5):594-7.

引用本文的文献

1
Successful treatment of ileal pouch desmoids using multimodal chemotherapy with low-dose vinblastine and methotrexate in a patient with familial adenomatous polyposis.在一名家族性腺瘤性息肉病患者中,使用低剂量长春碱和甲氨蝶呤的多模式化疗成功治疗回肠贮袋硬纤维瘤。
Clin J Gastroenterol. 2009 Jun;2(3):170-174. doi: 10.1007/s12328-008-0055-7. Epub 2009 Jan 24.