Radovic Svjetlana
Institut za patologiju, Medicinski fakultet u Sarajevu, Bosna i Hercegovina.
Med Arh. 2002;56(1 Suppl 1):51-4.
The polyp is a focal mass that projects from the wall into the lumen. The term polyp is appropriate for gross, radiologic, and endoscopic usage and should be further modified to indicate topographic site, size, number and shape. Strictly spoken, a polyp consists of a head and a stalk, but also the lesions without a clear stalk, but still protruding into the lumen, are called (sessile) polyps. In this view, "polyp" means any lesion, which is circumscribed and raised above normal surrounding mucous membrane so that it is visible to the naked eye. Clinicians sometimes even use "polyp" to refer to any tumor detected in the large intestine. The term polyp does not hold any information about the pathological nature of the lesions. Some polyps (benign, non-neoplastic polyps) do not have an increased potential for becoming malignant, while other polyps (adenomas, neoplastic polyps) are precancerous, which may progress to malignant lesions (carcinomas). Thus polyps must be biopsied or resected to determine their histological type and establish a complete diagnosis.
息肉是一种从管壁向管腔内突出的局限性肿块。息肉这一术语适用于大体标本、放射学及内镜检查,应进一步加以修饰以表明其部位、大小、数量及形态。严格来讲,息肉由头部和蒂部组成,但那些没有明显蒂部但仍向管腔内突出的病变也被称为(无蒂)息肉。按照这种观点,“息肉”指的是任何界限清楚且高于周围正常黏膜的病变,以至于肉眼可见。临床医生有时甚至用“息肉”来指代在大肠中检测到的任何肿瘤。息肉这一术语并未包含有关病变病理性质的任何信息。一些息肉(良性、非肿瘤性息肉)恶变的可能性并未增加,而其他息肉(腺瘤、肿瘤性息肉)则是癌前病变,可能进展为恶性病变(癌)。因此,必须对息肉进行活检或切除以确定其组织学类型并做出完整诊断。