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乳糜泻背景下的小儿胃腺癌：一例罕见且有启发性的病例报告

Pediatric Gastric Adenocarcinoma in the Setting of Celiac Disease: A Rare and Insightful Case Report.

作者信息

Rouhafshari Mahsa, Imanieh Mohammad Hadi, Khazaei Mahdi, Ziyaee Fateme, Barzegar Hamide

机构信息

Department of Pediatric Gastroenterology Shiraz University of Medical Sciences Shiraz Iran.

Department of Pediatric Gastroenterology, Gastroenterohepatology Research Center of Nemazee Hospital Shiraz University of Medical Sciences Shiraz Iran.

出版信息

Clin Case Rep. 2025 Sep 25;13(10):e71027. doi: 10.1002/ccr3.71027. eCollection 2025 Oct.

DOI:10.1002/ccr3.71027
PMID:41018997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12464339/
Abstract

Gastric adenocarcinoma is exceptionally rare in children, often presenting with nonspecific gastrointestinal (GI) symptoms. This case highlights the importance of considering malignancy in pediatric patients with celiac disease and poor dietary adherence, as complications like gastric adenocarcinoma can arise. Early recognition and multidisciplinary management are crucial for improving outcomes in such rare and aggressive cases.

摘要

胃腺癌在儿童中极为罕见，常表现为非特异性胃肠道症状。该病例凸显了对于患有乳糜泻且饮食依从性差的儿科患者考虑恶性肿瘤的重要性，因为可能会出现胃腺癌等并发症。早期识别和多学科管理对于改善此类罕见且侵袭性病例的预后至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7295/12464339/459f2fb2ccd3/CCR3-13-e71027-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7295/12464339/a514cfc19f8e/CCR3-13-e71027-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7295/12464339/dfd61d5ff6d8/CCR3-13-e71027-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7295/12464339/459f2fb2ccd3/CCR3-13-e71027-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7295/12464339/a514cfc19f8e/CCR3-13-e71027-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7295/12464339/dfd61d5ff6d8/CCR3-13-e71027-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7295/12464339/459f2fb2ccd3/CCR3-13-e71027-g001.jpg

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本文引用的文献

1
Clinical Characteristics and Oncological Outcomes of Surgically Treated Early-Onset Gastric Adenocarcinoma - a Retrospective Cohort Study.手术治疗早发性胃腺癌的临床特征与肿瘤学结局——一项回顾性队列研究
J Cancer. 2023 May 21;14(9):1470-1478. doi: 10.7150/jca.82876. eCollection 2023.
2
Malignancies in Patients with Celiac Disease: Diagnostic Challenges and Molecular Advances.乳糜泻患者的恶性肿瘤：诊断挑战和分子进展。
Genes (Basel). 2023 Jan 31;14(2):376. doi: 10.3390/genes14020376.
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儿童乳糜泻：文献综述
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Clin Gastroenterol Hepatol. 2022 Feb;20(2):e111-e131. doi: 10.1016/j.cgh.2021.05.034. Epub 2021 May 23.
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Current Evidence in the Diagnosis and Treatment of Children With Celiac Disease.乳糜泻患儿诊断与治疗的当前证据
Gastroenterol Nurs. 2019 Jan/Feb;42(1):41-48. doi: 10.1097/SGA.0000000000000365.
6
Gastric Adenocarcinoma in a 16-Year-Old Female.一名16岁女性的胃腺癌
Ochsner J. 2018 Winter;18(4):395-397. doi: 10.31486/toj.17.0107.
7
Association Between Coeliac Disease and Risk of Any Malignancy and Gastrointestinal Malignancy: A Meta-Analysis.乳糜泻与任何恶性肿瘤及胃肠道恶性肿瘤风险之间的关联：一项荟萃分析。
Medicine (Baltimore). 2015 Sep;94(38):e1612. doi: 10.1097/MD.0000000000001612.
8
Pediatric gastric cancer presenting with massive ascites.以大量腹水为表现的小儿胃癌。
World J Gastroenterol. 2015 Mar 21;21(11):3409-13. doi: 10.3748/wjg.v21.i11.3409.
9
Gastric adenocarcinoma presenting with gastric outlet obstruction in a child.一名儿童出现胃出口梗阻的胃腺癌。
Case Rep Gastrointest Med. 2014;2014:527471. doi: 10.1155/2014/527471. Epub 2014 Jan 14.
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