Rumi G Y, Solt I
Acta Med Acad Sci Hung. 1975;32(2):87-94.
The results of fibre gastroscopy in 100 patients with gastric polyp are reported. The polyps were removed in 38 patients. All cases were followed up. No malignant transformation of the polyp was demonstrable in any of the cases. The polypous growth proved to be early gastric carcinoma in two cases, neurogenic sarcoma in one case. The polyp was associated with gastric carcinoma in 11 cases, with gastric sarcoma in one case, and with tumours of other digestive organs in five cases. It has been concluded that 1. diagnosis and correct assessment of gastric polyps rest on the evidence of endoscopy. 2. In the majority of cases polypoid lesions of the stomach are either benign or malignant from the very outset. Endoscopy coupled with biopsy directed at the representative sites of the polyp permits differentiation between benigh and malignant cases with a fair degree of accuracy. 3. Removal of polyps should be selective. 4. Association of gastric polyps with gastric carcinoma is far more frequent than malignant transformation of the polyp. 5. Endoscopic follow-up of polyps is imperative even in polypectomized cases. 6. Detection of a gastric polyp necessitates a search for tumours of other organs.
报告了100例胃息肉患者的纤维胃镜检查结果。38例患者的息肉被切除。所有病例均进行了随访。未发现任何病例的息肉发生恶变。息肉样生长在2例中被证实为早期胃癌，1例为神经源性肉瘤。息肉与胃癌相关11例，与胃肉瘤相关1例，与其他消化器官肿瘤相关5例。得出以下结论：1.胃息肉的诊断和正确评估依赖于内镜检查证据。2.在大多数情况下，胃息肉样病变从一开始要么是良性的，要么是恶性的。内镜检查结合针对息肉代表性部位的活检能够以相当高的准确性区分良性和恶性病例。3.息肉切除应具有选择性。4.胃息肉与胃癌的关联远比息肉恶变更为常见。5.即使在息肉切除病例中，对息肉进行内镜随访也必不可少。6.发现胃息肉需要检查其他器官是否存在肿瘤。
