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用于肾细胞癌孤立性胃转移的杂交内镜下黏膜下剥离术

Hybrid Endoscopic Submucosal Dissection for Isolated Gastric Metastasis of Renal Cell Carcinoma.

作者信息

Alomari Ahmad, Obri Mark, Aldroubi Basel, Khan Muhammad Zarrar, Chaudhary Ammad, Althunibat Ismail, Piraka Cyrus, Zuchelli Tobias

机构信息

Department of Internal Medicine, Henry Ford Hospital, Detroit, MI.

Department of Gastroenterology, Henry Ford Hospital, Detroit, MI.

出版信息

ACG Case Rep J. 2024 Oct 31;11(11):e01548. doi: 10.14309/crj.0000000000001548. eCollection 2024 Nov.

DOI:10.14309/crj.0000000000001548
PMID:39493953
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11527420/
Abstract

Metastasis to the stomach is a rare occurrence, especially from renal cell carcinoma (RCC). We report a case of a 76-year-old man with a history of RCC, in remission for 11 years postnephrectomy, who presented with gastrointestinal symptoms, was found to have a 2 cm gastric mass confirmed as metastatic RCC. Endoscopic submucosal dissection was attempted, but due to the hypervascular nature of the mass, a hybrid endoscopic submucosal dissection was performed, achieving complete resection. Follow-up at 7 months showed no recurrence, highlighting the potential for endoscopic treatment options for isolated gastric metastasis, despite the lack of specific guidelines.

摘要

胃转移瘤较为罕见，尤其是肾细胞癌（RCC）转移至胃。我们报告一例76岁男性患者，有肾细胞癌病史，肾切除术后缓解11年，出现胃肠道症状，经检查发现一个2厘米的胃肿物，确诊为转移性肾细胞癌。尝试进行内镜下黏膜下剥离术，但由于肿物血管丰富，遂行内镜下黏膜下剥离术联合其他方法，实现了完整切除。7个月的随访显示无复发，这突出了尽管缺乏具体指南，但孤立性胃转移瘤采用内镜治疗的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4081/11527420/a611cbcff63d/ac9-11-e01548-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4081/11527420/969b1321832d/ac9-11-e01548-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4081/11527420/e90a19172250/ac9-11-e01548-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4081/11527420/a611cbcff63d/ac9-11-e01548-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4081/11527420/969b1321832d/ac9-11-e01548-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4081/11527420/e90a19172250/ac9-11-e01548-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4081/11527420/a611cbcff63d/ac9-11-e01548-g003.jpg

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本文引用的文献

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Case report: Endoscopic full-thickness resection of gastric metastatic tumor from renal cell carcinoma.病例报告：肾细胞癌胃转移瘤的内镜全层切除术
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Hybrid Versus Conventional Colorectal Endoscopic Submucosal Dissection: A Multicenter Randomized Controlled Trial (Short-Endoscopic Submucosal Dissection).混合式与传统结直肠内镜黏膜下剥离术：一项多中心随机对照试验（短内镜黏膜下剥离术）
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Solitary synchronous metastatic gastric cancer arising from t1b renal cell carcinoma: a case report and systematic review.由 t1b 肾细胞癌继发的孤立性同步转移性胃癌：病例报告和系统评价。
Gut Liver. 2012 Jul;6(3):388-94. doi: 10.5009/gnl.2012.6.3.388. Epub 2012 Jul 12.
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Endoscopic mucosal resection of a solitary metastatic tumor in the stomach: a case report.胃内孤立性转移瘤的内镜下黏膜切除术：一例报告
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Isolated gastric metastasis from renal cell carcinoma 19 years after radical nephrectomy.根治性肾切除术后 19 年孤立性胃转移的肾细胞癌。
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