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以肠套叠为表现的乙状结肠平滑肌肉瘤的诊断与治疗:一例报告

Diagnosis and management of sigmoid leiomyosarcoma presenting with intussusception: a case report.

作者信息

El-Boghdadly Sami A, Alshareef Alaa M, Almisfer Abdulrahman K, Momen Ibrahim M

机构信息

Department of General Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Ar Rimayah, Riyadh 14611, Saudi Arabia.

Department of General Surgery, Dr Sulaiman Al habib Medical Group, Khurais Br Rd, Ar Rayyan, Riyadh 14212, Saudi Arabia.

出版信息

J Surg Case Rep. 2024 Dec 19;2024(12):rjae795. doi: 10.1093/jscr/rjae795. eCollection 2024 Dec.

Abstract

Sigmoid leiomyosarcoma is a rare type of cancer that originates from smooth muscles of the sigmoid colon. This case report details a 50-year-old female found to have this condition, presenting to the emergency department with intussusception. A CT scan revealed two intraluminal masses, with the largest 10 cm from the anal verge. A colonoscopy and biopsy revealed a large obstructing mass with atypical spindle-shaped cells. This case shows a rare type of cancer presenting in a rare complication and highlights the approach done in the multi-disciplinary tumor board meeting involving gastroenterologists, radiologists, surgeons, and oncologists, leading to prompt diagnosis and surgical resection.

摘要

乙状结肠平滑肌肉瘤是一种起源于乙状结肠平滑肌的罕见癌症类型。本病例报告详细介绍了一名50岁女性被发现患有此病,因肠套叠就诊于急诊科。CT扫描显示两个腔内肿物,最大的距肛缘10厘米。结肠镜检查及活检显示一个大的阻塞性肿物,伴有非典型梭形细胞。本病例展示了一种以罕见并发症形式出现的罕见癌症类型,并突出了在由胃肠病学家、放射科医生、外科医生和肿瘤学家参加的多学科肿瘤委员会会议上所采取的方法,从而实现了快速诊断和手术切除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d6b/11656568/e738d35c0a26/rjae795f1.jpg

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