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頁籤選單縮合
題 名 | Inflammatory Pseudotumor of the Colon--Case Report=大腸發炎性偽腫瘤--病例報告 |
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作 者 | 許自齊; 李俊毅; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 31:2 民87.03-04 |
頁 次 | 頁113-119 |
分類號 | 416.245 |
關鍵詞 | 大腸發炎性偽腫瘤; 漿細胞瘤; Inflammatory pseudotumor; Plasma cell granuloma; Polyclonal; Hypergammaglobulinemia; |
語 文 | 英文(English) |
中文摘要 | 發炎性偽腫瘤(漿細胞瘤)是一種相當罕見的良性病灶,大部份文戲報告發生在肺 臟,其次為肝臟,發生在大腸更是相當罕見,在現有的文獻中,只有兩例曾經被報告過。其 發生原因及致病機轉,到目前為止仍然沒有定論,然而大多數學者都相信它是一種非特異性 的過度發炎反應,合併修補性結締組織的過度生長所造成。我們報告一例33歲的男性病人, 因發燒、腹脹及體重減輕來本院就診,影像學的檢查及手術前的診斷均傾向於大腸惡性腫瘤。 手術中發現一約10×8×7公分之腫瘤位於盲腸及升結腸,於是患者接受右半結腸截除術,病 理的診斷為發炎性偽腫瘤。術後患者的症狀完全解除,且於門診追蹤一切良好,無任何局部 復發或遠端轉移跡象。回顧文獻,發炎性偽腫瘤在臨床上和放射診斷學上不易和一般的惡性 腫瘤作鑑別診斷,即使手術前或手術中的切片檢查也很難提供正確的診斷。值得一提的是實 驗室檢查的特點,如血清多源性伽瑪免疫球蛋白增加,紅血球沉澱速率上升,或許有助於診 斷。 |
英文摘要 | Inflammatory pseudotumor (plasma cell granuloma) is a rare benign lesion in adults and children. It frequently simulates a true neoplasm both clinically and morphologically, presenting a diagnostic and therapeutic dilemma. We herein report the case of a 33-year-old man presented with fever, body weight loss, microcytic hypochromic anemia, polyclonal hypergamma-globulinemia, thrombocytosis, and elevation of C-reactive protein. Colono-fiberoscopy showed a space-occupying lesion at the cecum. The patient underwent right hemicolectomy for a presumed colonic neoplasm, and the histologic section revealed that it was an inflammatory pseudotumor. With resection of the mass, there was resolution of constitutional symptoms and normalization of laboratory abnormalities. Since inflammatory pseudotumors appear to have a self-limiting course and a favorable prognosis, our case and a review of the literature indicate that preoperative or intraoperative recognition is important. The possibility of this entity should be considered if laboratory data on admission suggested an inflammatory process. |
本系統中英文摘要資訊取自各篇刊載內容。