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腹腔镜胃袖状切除术后的偶然发现,病理学的价值。

Incidental finding after laparoscopic gastric sleeve, the value of pathology.

作者信息

Aguayo William G, Rojas Christian L, Molina Gabriel A, Cisneros Javier, Reyes Hernan V, Haro Hugo Efrain

机构信息

Surgeon at Grupo Digeslap Center, Quito, Ecuador.

PGY4 General Surgery Resident, PUCE, Quito, Ecuador.

出版信息

J Surg Case Rep. 2020 Jun 13;2020(6):rjaa121. doi: 10.1093/jscr/rjaa121. eCollection 2020 Jun.

Abstract

Gastric neuroendocrine tumors (NET) are rare tumors with a broad spectrum of symptoms; in recent years, the number of cases has increased due to the growing number of upper endoscopies. Obesity has become a worldwide epidemic and bariatric surgery one of the most effective therapies to control this illness. As more surgeries are performed, the number of histopathological samples will also increase. Incidental discoveries on these histopathological specimens are difficult situations to encounter as medical plans, prognosis and therapy will have to change accordingly. We present the case of a 43-year-old patient who underwent a laparoscopic gastric sleeve. On pathology, a NET was detected, and additional surgery was required. On follow-ups, the patient is doing well.

摘要

胃神经内分泌肿瘤(NET)是一种罕见肿瘤,症状范围广泛;近年来,由于上消化道内镜检查数量的增加,病例数有所上升。肥胖已成为一种全球性流行病,减肥手术是控制这种疾病最有效的治疗方法之一。随着手术量的增加,组织病理学样本数量也会增加。在这些组织病理学标本上的意外发现是难以遇到的情况,因为医疗计划、预后和治疗都将不得不相应改变。我们报告一例43岁接受腹腔镜胃袖状切除术的患者。病理检查发现了一个神经内分泌肿瘤,需要进一步手术。在随访中,患者情况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99d1/7293357/cfcb8a08d48b/rjaa121f1.jpg

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