在恶性疾病的 exploratory laparoscopy（此处可能是“探索性腹腔镜检查”，但该词不太准确，可结合上下文进一步确认）过程中发现的罕见病变。

Uncommon pathologies discovered during exploratory laparoscopy for malignant diseases.

作者信息

Pisano Giuseppe, Erdas Enrico, Licheri Sergio, Dazzi Claudio, Pomata Mariano, Daniele Giovanni Maria

机构信息

General Surgery Unit, Department of Surgical Sciences and Organ Transplants, Cagliari University.

出版信息

Chir Ital. 2007 Nov-Dec;59(6):793-9.

PMID:18360984

Abstract

In spite of the most sophisticated diagnostic tools, the final diagnosis in malignant diseases may require an exploratory laparoscopy for confirmation. The aim of this study was to report our experience with exploratory laparoscopy and to describe two unexpected cases of uncommon pathologies discovered during this procedure. From January 2003 to December 2005, 7 exploratory laparoscopies were performed to confirm and stage carcinoma with peritoneal involvement (4 cases) and to obtain histological evidence of lymphoma (3 cases). Uncommon pathologies were detected in two cases (28%): the first was a black man presenting with multiple tubercular lesions mimicking neoplastic spread, and the second an elderly Caucasian woman with a pre-pancreatic mass suspected of being a lymphoma, which was due to previous subclinical pancreatitis. The effectiveness of laparoscopy was confirmed in the present experience. A tissue specimen is mandatory when the differential diagnosis is hard to achieve.

摘要

尽管有最先进的诊断工具，但恶性疾病的最终诊断可能仍需要进行 exploratory laparoscopy 以确诊。本研究的目的是报告我们进行 exploratory laparoscopy 的经验，并描述在此过程中发现的两例罕见病理情况的意外病例。2003 年 1 月至 2005 年 12 月，进行了 7 次 exploratory laparoscopy，以确诊和分期有腹膜受累的癌（4 例）并获取淋巴瘤的组织学证据（3 例）。两例（28%）发现了罕见病理情况：第一例是一名黑人男性，有多个类似肿瘤播散的结核病变；第二例是一名老年白人女性，胰前有一肿块，怀疑是淋巴瘤，实际是由于先前的亚临床胰腺炎所致。本经验证实了 laparoscopy 的有效性。当难以进行鉴别诊断时，组织标本是必不可少的。