内镜下切除上消化道上皮下肿瘤:我们的临床经验和结果。

Q4 Biochemistry, Genetics and Molecular Biology Prague medical report Pub Date : 2022-01-01 DOI:10.14712/23362936.2022.2
M. Buldanlı, O. Yener
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引用次数: 1

摘要

上消化道上皮下肿瘤(SETs)通常无症状,临床上不明显,有恶性、交界性和良性变异。在先进的内镜手术中,组织病理学诊断和内镜切除是可能和可行的。在这项研究中,我们检查了上消化道上皮下肿瘤的方法和我们的临床结果。本研究纳入2014年1月至2015年1月在外科内窥镜单元就诊的成年患者。在这项单中心研究中,对患者的档案和最终的组织病理学诊断进行回顾性记录和分析。小于30 mm的SET病变及内镜下粘膜下剥离尝试的病变纳入本研究。8例患者,女性4例(50%),男性4例(50%),年龄31 ~ 66岁(中位53岁)。肿瘤病灶位于食道4例(50%),胃3例(37.5%),十二指肠1例(12.5%),直径5 ~ 30mm,中位14mm。手术后无并发症及腹部症状。此外,在早期随访6个月,未观察到复发。我们的经验和本文报道的文献表明,内镜切除对大多数上消化道set患者是一种安全有效的治疗方法。
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Endoscopic Resection of Upper Gastrointestinal Subepithelial Tumours: Our Clinical Experience and Results.
Upper gastrointestinal subepithelial tumours (SETs) are generally asymptomatic and clinically insignificant and have malign, borderline and benign variants. In advanced endoscopic procedures, histopathological diagnosis and endoscopic resection are possible and feasible. In this study, we examined our approach to upper gastrointestinal subepithelial tumours and our clinical results. Adult patients who applied to Surgical Endoscopy unit between January 2014 and January 2015 were included in the study. The patients' files and final histopathological diagnoses were recorded and analysed retrospectively for this single-center study. SET lesion lower than 30 mm and the lesion whose endoscopic submucosal dissection attemption was included in the study. The total of 8 patients were four female (50%) and four male (50%), aged 31-66 years (median, 53 years). The tumoral lesions were located 4 (50%) patients in esophagus, 3 (37.5%) patients in stomach and one (12.5%) patient in duodenum and their diameter ranged from 5 to 30 mm (median, 14 mm). Post-interventional no complications or abdominal symptoms were encountered. Also, in early follow-ups for six months, no recurrence was observed. Our experiences together with literature reported here, indicated endoscopic resection is a safe and effective method of treatment for most patients with upper gastrointestinal SETs.
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来源期刊
Prague medical report
Prague medical report Medicine-Medicine (all)
CiteScore
1.10
自引率
0.00%
发文量
19
审稿时长
20 weeks
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