[肛门高度发育不良伴克罗恩病1例]。

Q4 Medicine

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI:10.11405/nisshoshi.122.564

Yuka Inaba, Kenji Tatsumi, Hirosuke Kuroki, Nao Obara, Akira Sugita, Hiroyuki Imaeda, Kazutaka Koganei

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引用次数: 0

摘要

一位47岁的男性患者在克罗恩病诊断12年后接受了肛门疼痛的结肠镜检查。肛管隆起处活检显示为高分化腺癌。在我院复查组织病理标本，发现肛门高度发育不良（HGD），从而改变了最初的诊断。进行远端结肠切除和直肠截肢，切除标本的最终诊断为肛管HGD。虽然HGD与克罗恩病相关在日本很少见，但本病例提示内镜检查的重要性，这可能有助于早期发现HGD。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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[Anal high grade dysplasia associated with Crohn's disease:a case report].

A 47-year-old male patient with anal pain underwent a colonoscopy 12 years after Crohn's disease diagnosis. A biopsy from the protuberance of the anal canal revealed a well-differentiated adenocarcinoma. A reexamination of the histopathological specimen at our hospital revealed anal high grade dysplasia (HGD), thereby changing the initial diagnosis. A distal colon resection and rectal amputation were performed, and the final diagnosis of the resected specimen was anal canal HGD. While HGD associated with Crohn's disease is rare in Japan, this case suggests the importance of endoscopic examination, which might help in early detection of HGD.

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来源期刊

Japanese Journal of Gastroenterology Medicine-Gastroenterology

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： The Journal of Gastroenterology, which is the official publication of the Japanese Society of Gastroenterology, publishes Original Articles (Alimentary Tract/Liver, Pancreas, and Biliary Tract), Review Articles, Letters to the Editors and other articles on all aspects of the field of gastroenterology. Significant contributions relating to basic research, theory, and practice are welcomed. These publications are designed to disseminate knowledge in this field to a worldwide audience, and accordingly, its editorial board has an international membership.