[Vanek肿瘤是消化道出血的罕见病因]。

Q4 Medicine
Sergio Morínigo, Maisa Vallejos, Sebastián Díaz Duba, Sebastián Burró, Carolina Miranda, José Villarejo, Jesús Ortiz Villalba
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引用次数: 0

摘要

胃肠道息肉表现出广泛的特征,从良性到潜在的恶性病变。Vanek息肉是一种罕见的息肉,其特征是炎症浸润和血管改变,常与腺瘤性病变混淆。我们提出的情况下,一个77岁的妇女有一个月的直肠出血史,需要住院期间的发作之一。结肠镜检查发现有带蒂息肉,切除后无并发症。组织病理学分析显示淋巴浆细胞浸润,多支血管伴纤维蛋白样坏死,无肿瘤异型性。由于该报告的非特异性,我们进行了免疫组化研究,发现血管中CD34阳性,间充质细胞中vimentin阳性。这些发现提示与炎性肌瘤息肉的鉴别诊断。Vanek息肉是一种罕见的病变,需要准确的诊断和适当的治疗。最近的趋势表明,这些息肉的识别增加,可能是由于诊断技术的进步。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Vanek's tumor as an uncommon cause of digestive bleeding].

Gastrointestinal tract polyps exhibit a wide range of characteristics, from benign to potentially malignant lesions. Vanek's polyp, a rare entity, is characterized by its inflammatory infiltrate and vascular alterations, often leading to confusion with adenomatous lesions. We present the case of a 77-year-old woman with a one-month history of rectal bleeding, requiring hospitalization during one of the episodes. Colonoscopy revealed a pedunculated polyp, which was resected without complications. Histopathological analysis showed a lymphoplasmacytic infiltrate, multiple vessels with fibrinoid necrosis, and no neoplastic atypia. Due to the nonspecific nature of the report, immunohistochemical studies were performed, revealing CD34 positivity in the vessels and vimentin positivity in mesenchymal cells. These findings suggest a differential diagnosis from inflammatory fibroid polyps. Vanek's polyps are uncommon lesions that require accurate diagnosis and appropriate management. Recent trends show an increase in the identification of these polyps, likely due to advancements in diagnostic techniques.

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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
49
期刊介绍: La REVISTA DE GASTROENTEROLOGíA DEL PERÚ, es la publicación oficial de la Sociedad de Gastroenterología del Perú que publica artículos originales, artículos de revisión, reporte de casos, cartas e información general de la especialidad; dirigido a los profesionales de la salud con especial interés en la gastroenterología. La Revista de Gastroenterología del Perú es una publicación de periodicidad trimestral y tiene como objetivo la publicación de artículos científicos inéditos en el campo de la gastroenterología, proporcionando información actualizada y relevante de la especialidad y áreas afines. La Revista de Gastroenterología del Perú publica artículos en dos idiomas, español e inglés, a texto completo en la versión impresa yelectrónica. Los artículos científicos son sometidos a revisores o árbitros nacionales e internacionales, especialistas que opinan bajo la modalidad de doble ciego y de manera anónima sobre la calidad y validez de los mismos. El número de revisores depende del tipo de artículo, dos revisores como mínimo para artículos originales y uno como mínimo para otros tipos de artículos.
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