Gastritis cystica profunda is a relatively rare disease, usually observed at anastomotic sites in stomachs of patients that have undergone gastric procedures. We present the rare case of an elevated lesion in the ante...Gastritis cystica profunda is a relatively rare disease, usually observed at anastomotic sites in stomachs of patients that have undergone gastric procedures. We present the rare case of an elevated lesion in the anterior wall of the gastric antrum of a 43-year-old Chinese woman who had never undergone gastric surgery and had no gastrointestinal tract symptoms. Although the physical examination and laboratory data showed no abnormalities, endoscopic ultrasonography revealed an anechoic cystic structure. Abdominalcomputed tomography and magnetic resonance imaging showed the gastric wall of the greater curvature of the antrum was markedly and irregularly thickened, and mild to moderate enhancement was observed around the lesion with no enhancement in the central portion, suggestive of a gastrointestinal stromal tumor. The patient underwent a distal gastric resection of the 2.5 cm × 1.5 cm lesion. A postoperative pathologic examination showed dilated cystic glands in the muscularis mucosa and submucosal layers and erosion of the mucosal surface of the tumor, confirming the diagnosis of gastritis cystica profunda without malignancy.展开更多
目的探讨食管胃交界部癌(carcinoma of esophagogastric junction,CEJ)发生腹腔及胸腔纵隔淋巴结转移的危险因素,以指导是否清扫胸腔纵隔淋巴结。方法采用回顾性研究分析行食管胃交界部癌根治术的217例患者,分析术前胃镜及术后病理检查...目的探讨食管胃交界部癌(carcinoma of esophagogastric junction,CEJ)发生腹腔及胸腔纵隔淋巴结转移的危险因素,以指导是否清扫胸腔纵隔淋巴结。方法采用回顾性研究分析行食管胃交界部癌根治术的217例患者,分析术前胃镜及术后病理检查结果。结果淋巴结转移阳性数目是发生胸腔纵隔淋巴结转移独立的危险因素,且淋巴结转移数目每增加1个,纵隔淋巴结发生转移风险增加34.0%(OR=1.340,95%CI:1.090~1.648;P=0.006);脉管瘤栓(OR=5.83,95%CI:1.65~20.62,P=0.006)、浸润深度T(OR=2.35,95%CI:1.30~4.24,P=0.005)和上侵食管长度(OR=1.29,95%CI:1.02~1.63,P=0.033)是发生腹腔淋巴结转移的独立危险因素,而且上侵及食管每增加1 cm,发生腹腔淋巴结转移的风险增加29.0%。结论浸润深度越深、存在脉管瘤栓且上侵及食管越多的食管胃交界部癌患者发生腹腔淋巴结转移的风险越高。淋巴结转移数目越多,纵隔淋巴结发生转移的风险加大。展开更多
文摘Gastritis cystica profunda is a relatively rare disease, usually observed at anastomotic sites in stomachs of patients that have undergone gastric procedures. We present the rare case of an elevated lesion in the anterior wall of the gastric antrum of a 43-year-old Chinese woman who had never undergone gastric surgery and had no gastrointestinal tract symptoms. Although the physical examination and laboratory data showed no abnormalities, endoscopic ultrasonography revealed an anechoic cystic structure. Abdominalcomputed tomography and magnetic resonance imaging showed the gastric wall of the greater curvature of the antrum was markedly and irregularly thickened, and mild to moderate enhancement was observed around the lesion with no enhancement in the central portion, suggestive of a gastrointestinal stromal tumor. The patient underwent a distal gastric resection of the 2.5 cm × 1.5 cm lesion. A postoperative pathologic examination showed dilated cystic glands in the muscularis mucosa and submucosal layers and erosion of the mucosal surface of the tumor, confirming the diagnosis of gastritis cystica profunda without malignancy.
文摘目的探讨食管胃交界部癌(carcinoma of esophagogastric junction,CEJ)发生腹腔及胸腔纵隔淋巴结转移的危险因素,以指导是否清扫胸腔纵隔淋巴结。方法采用回顾性研究分析行食管胃交界部癌根治术的217例患者,分析术前胃镜及术后病理检查结果。结果淋巴结转移阳性数目是发生胸腔纵隔淋巴结转移独立的危险因素,且淋巴结转移数目每增加1个,纵隔淋巴结发生转移风险增加34.0%(OR=1.340,95%CI:1.090~1.648;P=0.006);脉管瘤栓(OR=5.83,95%CI:1.65~20.62,P=0.006)、浸润深度T(OR=2.35,95%CI:1.30~4.24,P=0.005)和上侵食管长度(OR=1.29,95%CI:1.02~1.63,P=0.033)是发生腹腔淋巴结转移的独立危险因素,而且上侵及食管每增加1 cm,发生腹腔淋巴结转移的风险增加29.0%。结论浸润深度越深、存在脉管瘤栓且上侵及食管越多的食管胃交界部癌患者发生腹腔淋巴结转移的风险越高。淋巴结转移数目越多,纵隔淋巴结发生转移的风险加大。
