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阑尾子宫内膜异位症的发育不良肠型化生：低度阑尾黏液性肿瘤的模拟病变。

Dysplastic intestinal-type metaplasia of appendiceal endometriosis: a mimic of low grade appendiceal mucinous neoplasm.

机构信息

Department of Anatomic Pathology and Cytology, Maisonneuve-Rosemont Hospital, Montreal, Quebec, Canada.

出版信息

Diagn Pathol. 2014 Feb 21;9:39. doi: 10.1186/1746-1596-9-39.

DOI:10.1186/1746-1596-9-39
PMID:24559059
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4001424/
Abstract

UNLABELLED: We report an example of dysplastic intestinal-type metaplasia involving endometriosis of the appendix in a 45 year old woman. One other example of this phenomenon has been reported. As it occurs within the muscular wall of the appendix, confusion with low grade appendiceal mucinous neoplasm (LAMN) may occur. Evidence supporting the metaplastic nature of the intestinal epithelium is offered. As the initial pathological diagnosis was of invasive cancer with perforation of the appendix treatment consisted of peritonectomy and hyperthermic intraperitoneal chemotherapy (HIPEC). VIRTUAL SLIDES: The virtual slides for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1068246472111756.

摘要

未加标签：我们报告了一例涉及阑尾子宫内膜异位症的发育不良肠型化生的病例，患者为 45 岁女性。这种现象仅报告过一例。由于它发生在阑尾的肌壁内，可能会与低级别的阑尾黏液性肿瘤（LAMN）相混淆。本文提供了支持肠上皮化生性质的证据。由于初始病理诊断为阑尾穿孔的浸润性癌，治疗方法为腹膜切除术和腹腔热灌注化疗（HIPEC）。

虚拟幻灯片：本文的虚拟幻灯片可在此处找到：http://www.diagnosticpathology.diagnomx.eu/vs/1068246472111756。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ef/4001424/f7ade3277a76/1746-1596-9-39-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ef/4001424/cf04e07743e5/1746-1596-9-39-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ef/4001424/f7ade3277a76/1746-1596-9-39-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ef/4001424/cf04e07743e5/1746-1596-9-39-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ef/4001424/f7ade3277a76/1746-1596-9-39-2.jpg

相似文献

[1]
Dysplastic intestinal-type metaplasia of appendiceal endometriosis: a mimic of low grade appendiceal mucinous neoplasm.

Diagn Pathol. 2014-2-21

[2]
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[3]
Intestinal metaplasia of appendiceal endometriosis is not uncommon and may mimic appendiceal mucinous neoplasm.

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[4]
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[5]
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[6]
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[7]
[A Case of High-Grade Appendiceal Mucinous Neoplasm].

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[8]
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[10]
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引用本文的文献

[1]
Contrast-enhanced ultrasonography findings of LAMNs with peritoneal and splenic metastases: a case report and literature review.

Front Oncol. 2023-9-25

[2]
Essentials for Pathological Evaluation of Peritoneal Surface Malignancies and Synoptic Reporting of Cytoreductive Surgery Specimens-A review and evidence-based guide.

Indian J Surg Oncol. 2020-3

[3]
Overinterpretation is common in pathological diagnosis of appendix cancer during patient referral for oncologic care.

PLoS One. 2017-6-7

本文引用的文献

[1]
Extrapelvic endometriosis: a rare entity or an under diagnosed condition?

Diagn Pathol. 2013-12-2

[2]
Endobronchial endometriosis presenting as central-type lung cancer: a case report.

Diagn Pathol. 2013-4-3

[3]
Intestinal metaplasia and colonization of endometriosis in a case of an appendiceal mucinous neoplasm.

Virchows Arch. 2012-8

[4]
Ileocolic intussusception due to a cecal endometriosis: case report and review of literature.

Diagn Pathol. 2012-6-7

[5]
Endometrial intestinal metaplasia: a report of two cases, including one associated with cervical intestinal and pyloric metaplasia.

Int J Gynecol Pathol. 2011-9

[6]
Colonization of intestinal endometriosis by benign colonic mucosa: a pattern potentially misdiagnosed as invasive mucinous carcinoma.

Int J Surg Pathol. 2011-4

[7]
Primary ovarian leiomyoma associated with endometriotic cyst presenting with symptoms of acute appendicitis: a case report.

Diagn Pathol. 2009-7-30

[8]
The pathology of endometriosis: a survey of the many faces of a common disease emphasizing diagnostic pitfalls and unusual and newly appreciated aspects.

Adv Anat Pathol. 2007-7

[9]
Appendiceal mucinous neoplasms: a clinicopathologic analysis of 107 cases.

Am J Surg Pathol. 2003-8

[10]
Endometriosis of the intestinal tract: a study of 44 cases of a disease that may cause diverse challenges in clinical and pathologic evaluation.

Am J Surg Pathol. 2001-4

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