Đặc điểm giải phẫu bệnh khối ung thư đại tràng phải trên bệnh nhân được phẫu thuật nội soi cắt đại tràng=Pathological characteristics of right colon cancer in patients laparoscopic right colectomy

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Quỳnh Nhung Bùi, Bùi Diệu Linh Lương, Ngọc Cương Lương, Anh Tuấn Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.93-98

Bộ sưu tập: Metadata

ID: 477966

Thêm vào giỏ

Đánh giá đặc điểm tổn thương về mặt đại thể và vi thể của khối ung thư đại tràng phải sau phẫu thuật nội soi cắt đại tràng phải với cắt toàn bộ mạc treo đại tràng (CME). Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả hồi cứu trên các bệnh nhân được phẫu thuật nội soi cắt đại tràng phải với cắt toàn bộ mạc treo đại tràng (CME) điều trị ung thư đại tràng phải, thời gian từ 5/2018 đến 03/2020 tại Bệnh viện Trung ương Quân đội 108. Bệnh phẩm là khối u được xác định vị trí, đặc điểm tổn thương về mặt đại thể và vi thể. Kết quả: Tổng số có 45 bệnh nhân được phẫu thuật nội soi cắt đại tràng phải với cắt toàn bộ mạc treo đại tràng (CME). Về vị trí: u ở đại tràng góc gan chiếm tỉ lệ cao nhất (46,67%), sau đó là u ở đại tràng lên (35,56%). Hình thái đại thể gặp nhiều nhất là thể sùi (57,78%), thể loét (28,89%). Loại tổn thương vi thể gặp nhiều nhất là ung thư biểu mô tuyến (86,66%), trong đó chủ yếu gặp ung thư biểu mô tuyến biệt hóa vừa (73,33%). Kết luận: Vị trí chủ yếu khối u là đại tràng góc gan (46,67%)
đại thể chủ yếu là u thể sùi (57,78%)
vi thể phần lớn Ung thư biểu mô tuyến (86,66%), trong đó mức độ biệt hóa vừa chiếm 73,33%.To evaluate the macroscopic and microscopic characteristics of right colon cancer following laparoscopic right colectomy with complete mesocolic excision (CME). Methods: A retrospective descriptive study was conducted on patients who underwent laparoscopic right colectomy with CME for right colon cancer from May 2018 to March 2020 at the 108 Military Central Hospital. Specimens were examined for tumor location and macroscopic and microscopic characteristics. Results: A total of 45 patients underwent laparoscopic right colectomy with CME. The most common tumor location was the hepatic flexure (46.67%), followed by the ascending colon (35.56%). The most frequent macroscopic form was the exophytic type (57.78%), followed by the ulcerative type (28.89%). The predominant microscopic finding was adenocarcinoma (86.66%), with moderately differentiated adenocarcinoma accounting for 73.33%. Conclusion: The majority of tumors were located at the hepatic flexure (46.67%) and presented macroscopically as exophytic lesions (57.78%). Microscopically, most were adenocarcinomas (86.66%), with 73.33% being moderately differentiated.

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