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妇科手术后大胃腺瘤的自发消退

Spontaneous Regression of a Large Gastric Adenoma Following Gynecologic Surgery.

作者信息

Vogli Stamatina, Markopoulos Panagiotis, Filippakou Aikaterini, Stanc Gabriela, Tsironi Eftychia, Telakis Emmanouil

机构信息

Department of Gastroenterology, Metaxa Cancer Hospital of Piraeus, Piraeus, GRC.

Department of Pathology, Metaxa Cancer Hospital of Piraeus, Piraeus, GRC.

出版信息

Cureus. 2024 Oct 7;16(10):e71020. doi: 10.7759/cureus.71020. eCollection 2024 Oct.

DOI:10.7759/cureus.71020
PMID:39507201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11540251/
Abstract

Gastric adenomas are defined as polypoid lesions of neoplastic epithelium in the stomach. They are rare, occurring much less frequently than fundic gland polyps and hyperplastic polyps, and are typically associated with mucosal atrophy and intestinal metaplasia. Gastric adenomas also carry a risk of malignant transformation. We report a case of a 66-year-old woman with a gastric adenoma of the corpus found during a preoperative esophagogastroduodenoscopy before abdominal surgery for an ovarian tumor. The patient demonstrated spontaneous regression of her gastric adenoma 14 months after her initial endoscopy and subsequent hysterectomy with salpingo-oophorectomy without undergoing endoscopic resection or any other intervention. To our knowledge, this is the first well-documented case of spontaneous regression of a gastric adenoma.

摘要

胃腺瘤被定义为胃内肿瘤性上皮的息肉样病变。它们很罕见，发生频率远低于胃底腺息肉和增生性息肉，并且通常与黏膜萎缩和肠化生相关。胃腺瘤也有恶变风险。我们报告一例66岁女性病例，该患者在因卵巢肿瘤行腹部手术前的术前食管胃十二指肠镜检查中发现胃体部有一个胃腺瘤。该患者在初次内镜检查及随后的子宫切除加双侧输卵管卵巢切除术后14个月，胃腺瘤出现自发消退，未接受内镜切除或任何其他干预。据我们所知，这是第一例有充分记录的胃腺瘤自发消退病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f9/11540251/86d3ecdb96da/cureus-0016-00000071020-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f9/11540251/a29a6b697ab4/cureus-0016-00000071020-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f9/11540251/e574c7ee8f8d/cureus-0016-00000071020-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f9/11540251/621721d6fa44/cureus-0016-00000071020-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f9/11540251/df6c55746e0d/cureus-0016-00000071020-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f9/11540251/86d3ecdb96da/cureus-0016-00000071020-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f9/11540251/a29a6b697ab4/cureus-0016-00000071020-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f9/11540251/e574c7ee8f8d/cureus-0016-00000071020-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f9/11540251/621721d6fa44/cureus-0016-00000071020-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f9/11540251/df6c55746e0d/cureus-0016-00000071020-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f9/11540251/86d3ecdb96da/cureus-0016-00000071020-i05.jpg

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The Spontaneous Regression of Primary Gastrointestinal Malignancies: An Observational Review.原发性胃肠道恶性肿瘤的自发消退：一项观察性综述。
Cureus. 2022 Dec 26;14(12):e32970. doi: 10.7759/cureus.32970. eCollection 2022 Dec.
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Helicobacter pylori Eradication Regressed Gastric Hyperplastic Polyp: A Randomized Controlled Trial.幽门螺杆菌根除对胃增生性息肉的消退作用：一项随机对照试验。
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