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假-假息肉：回结肠吻合口处的梭形细胞肉瘤。

Pseudo-Pseudo Polyp: Spindle Cell Sarcoma at an Ileocolonic Anastomosis.

作者信息

Varela Knorr Ines, Marion James, Claytor Jennifer

机构信息

Department of Internal Medicine, Icahn School of Medicine at Mount Sinai West and Morningside Hospitals, New York, NY.

Department of Gastroenterology, Icahn School of Medicine at Mount Sinai Hospital, New York, NY.

出版信息

ACG Case Rep J. 2025 Aug 22;12(8):e01817. doi: 10.14309/crj.0000000000001817. eCollection 2025 Aug.

DOI:10.14309/crj.0000000000001817
PMID:40861927
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12373086/
Abstract

Anastomotic inflammatory polyps are a known source of gastrointestinal bleeding in patients who have undergone bowel resection, but an anastomotic spindle cell sarcoma with myogenic differentiation has never been reported. We present the case of a patient with occult gastrointestinal bleeding 6 years after an ileocolic resection for an incarcerated hernia and discuss surveillance in patients with these rare polyps.

摘要

吻合口炎性息肉是肠切除术后患者胃肠道出血的已知来源，但具有肌源性分化的吻合口梭形细胞肉瘤从未见报道。我们报告了一例因嵌顿疝行回结肠切除术后6年出现隐匿性胃肠道出血的患者，并讨论了对这些罕见息肉患者的监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7908/12373086/c454037e5a9d/ac9-12-e01817-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7908/12373086/acd3865b580d/ac9-12-e01817-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7908/12373086/c454037e5a9d/ac9-12-e01817-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7908/12373086/acd3865b580d/ac9-12-e01817-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7908/12373086/c454037e5a9d/ac9-12-e01817-g002.jpg

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本文引用的文献

1
Undifferentiated spindle cell sarcoma at the anastomosis after ileocecal resection for colon cancer: A case report.结肠癌回盲部切除术后吻合口处未分化梭形细胞肉瘤：一例报告
Int J Surg Case Rep. 2024 Dec;125:110643. doi: 10.1016/j.ijscr.2024.110643. Epub 2024 Nov 25.
2
Soft Tissue Sarcoma, Version 2.2022, NCCN Clinical Practice Guidelines in Oncology.软组织肉瘤，第 2.2022 版，NCCN 肿瘤学临床实践指南。
J Natl Compr Canc Netw. 2022 Jul;20(7):815-833. doi: 10.6004/jnccn.2022.0035.
3
Leiomyosarcoma: Current Clinical Management and Future Horizons.
平滑肌肉瘤：当前临床管理与未来展望。
Surg Oncol Clin N Am. 2022 Jul;31(3):527-546. doi: 10.1016/j.soc.2022.03.011.
4
Soft tissue and visceral sarcomas: ESMO-EURACAN-GENTURIS Clinical Practice Guidelines for diagnosis, treatment and follow-up.软组织和内脏肉瘤：ESMO-EURACAN-GENTURIS诊断、治疗及随访临床实践指南
Ann Oncol. 2021 Nov;32(11):1348-1365. doi: 10.1016/j.annonc.2021.07.006. Epub 2021 Jul 22.
5
Gastrointestinal leiomyosarcoma demonstrate a predilection for distant recurrence and poor response to systemic treatments.胃肠道平滑肌肉瘤倾向于远处复发，对全身治疗反应不佳。
Eur J Surg Oncol. 2021 Oct;47(10):2595-2601. doi: 10.1016/j.ejso.2021.04.043. Epub 2021 May 4.
6
Uterine leiomyosarcoma: A review of the literature and update on management options.子宫平滑肌肉瘤：文献回顾与治疗选择的更新。
Gynecol Oncol. 2018 Dec;151(3):562-572. doi: 10.1016/j.ygyno.2018.09.010. Epub 2018 Sep 21.
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Soft Tissue and Uterine Leiomyosarcoma.软组织和子宫平滑肌肉瘤。
J Clin Oncol. 2018 Jan 10;36(2):144-150. doi: 10.1200/JCO.2017.75.9845. Epub 2017 Dec 8.
8
Outcomes of Primary Colorectal Sarcoma: A National Cancer Data Base (NCDB) Review.原发性结直肠癌肉瘤的治疗结果：一项国家癌症数据库（NCDB）综述
J Gastrointest Surg. 2017 Mar;21(3):560-568. doi: 10.1007/s11605-016-3347-0. Epub 2017 Jan 17.
9
Myxoid Leiomyosarcoma of the Uterus: A Clinicopathologic Analysis of 30 Cases and Review of the Literature With Reappraisal of Its Distinction From Other Uterine Myxoid Mesenchymal Neoplasms.子宫黏液样平滑肌肉瘤：30例临床病理分析及文献复习，并重新评估其与其他子宫黏液样间叶性肿瘤的鉴别诊断
Am J Surg Pathol. 2016 Mar;40(3):285-301. doi: 10.1097/PAS.0000000000000593.
10
Uterine Sarcoma, Version 1.2016: Featured Updates to the NCCN Guidelines.子宫肉瘤临床实践指南（2016 年版）
J Natl Compr Canc Netw. 2015 Nov;13(11):1321-31. doi: 10.6004/jnccn.2015.0162.