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副肿瘤综合征诱发溃疡性结肠炎一例?

A Case of Ulcerative Colitis Induced by Paraneoplastic Syndrome?

作者信息

Zhang Tao, Pan Zhu-Bin, Tong Wen-Jia, Zhou Yu-Liang, Cheng Yuan, Jin Dan-Qun, Qi Shi-Qin, Zhang Zhen-Qiang

机构信息

Department of General Surgery, Anhui Provincial Children's Hospital, Children's Hospital of Fudan University Anhui Hospital, Children's Hospital of Anhui Medical University, Hefei, 230000, People's Republic of China.

Department of Pediatric Intensive Care Unit, Anhui Provincial Children's Hospital, Children's Hospital of Fudan University Anhui Hospital, Children's Hospital of Anhui Medical University, Hefei, 230000, People's Republic of China.

出版信息

J Inflamm Res. 2023 Aug 8;16:3319-3327. doi: 10.2147/JIR.S418733. eCollection 2023.

DOI:10.2147/JIR.S418733
PMID:37576158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10422985/
Abstract

BACKGROUND

Paraneoplastic syndromes often cause endocrine, neurological, cutaneous, and hematologic pathologies, and cases with digestive symptoms as prominent cases are rare.

CASE DESCRIPTION

A 1-year-old child admitted to the emergency department with severe abdominal distension was later diagnosed with sacrococcygeal yolk cystoma with ulcerative colitis. After symptomatic management, surgical removal of the tumor, and JEB chemotherapy, the symptoms of ulcerative colitis disappeared completely. After 7 years of follow-up, the child grew and developed well, and there was no recurrence of tumor and ulcerative colitis.

CONCLUSION

Yolk sac tumor with ulcerative colitis is a rare paraneoplastic syndrome with complex clinical manifestations.

摘要

背景

副肿瘤综合征常引起内分泌、神经、皮肤和血液系统病变,以消化症状为突出表现的病例罕见。

病例描述

一名1岁儿童因严重腹胀入住急诊科,后来被诊断为骶尾部卵黄囊瘤合并溃疡性结肠炎。经过对症处理、手术切除肿瘤以及JEB化疗后,溃疡性结肠炎症状完全消失。经过7年随访,患儿生长发育良好,肿瘤及溃疡性结肠炎均未复发。

结论

卵黄囊瘤合并溃疡性结肠炎是一种罕见的副肿瘤综合征,临床表现复杂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a2/10422985/e6ca4da3b64c/JIR-16-3319-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a2/10422985/506149a770a7/JIR-16-3319-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a2/10422985/d94ec07fed49/JIR-16-3319-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a2/10422985/b943083d28c0/JIR-16-3319-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a2/10422985/511cb30d327c/JIR-16-3319-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a2/10422985/13e2a061675e/JIR-16-3319-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a2/10422985/e6ca4da3b64c/JIR-16-3319-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a2/10422985/506149a770a7/JIR-16-3319-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a2/10422985/d94ec07fed49/JIR-16-3319-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a2/10422985/b943083d28c0/JIR-16-3319-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a2/10422985/511cb30d327c/JIR-16-3319-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a2/10422985/13e2a061675e/JIR-16-3319-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a2/10422985/e6ca4da3b64c/JIR-16-3319-g0006.jpg

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Dual Biologic Therapy in Moderate to Severe Pediatric Inflammatory Bowel Disease: A Retrospective Study.中度至重度小儿炎症性肠病的双生物制剂疗法:一项回顾性研究
Children (Basel). 2022 Dec 21;10(1):11. doi: 10.3390/children10010011.
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Dis Colon Rectum. 2022 Dec 1;65(S1):S5-S19. doi: 10.1097/DCR.0000000000002588.
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Diagnostic Delay in Pediatric Inflammatory Bowel Disease: A Systematic Review.儿科炎症性肠病的诊断延误:系统评价。
Dig Dis Sci. 2022 Dec;67(12):5444-5454. doi: 10.1007/s10620-022-07452-5. Epub 2022 Mar 14.
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Pure yolk sac tumor of sacrococcygeal region.骶尾部纯卵黄囊瘤。
Autops Case Rep. 2021 May 25;11:e2021287. doi: 10.4322/acr.2021.287. eCollection 2021.
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Review of paraneoplastic syndromes in children.儿童副肿瘤综合征综述
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Bazex Syndrome with Hypoalbuminemia and Severe Ascites.伴有低白蛋白血症和严重腹水的巴泽克斯综合征
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Atypical presentation of sacrococcygeal yolk sac tumor in infant: beware of the injuries of the gluteal region.婴儿骶尾部卵黄囊瘤的非典型表现:警惕臀区损伤。
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ESPGHAN revised porto criteria for the diagnosis of inflammatory bowel disease in children and adolescents.欧洲儿科胃肠病、肝病和营养学会(ESPGHAN)修订了儿童和青少年炎症性肠病的诊断标准。
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