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炎症性肌腺性结直肠息肉:9例病例系列

Inflammatory myoglandular colorectal polyps: a case series of nine patients.

作者信息

Moriyama T, Matsumoto T, Hizawa K, Tada S, Fuchigami T, Iwai K, Yao T, Iida M

机构信息

Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

出版信息

Endoscopy. 2003 Apr;35(4):363-5. doi: 10.1055/s-2003-38138.

Abstract

Inflammatory myoglandular polyp is an uncommon benign colorectal polyp. We treated nine cases of histologically verified inflammatory myoglandular polyp. The polyps were identified as a pedunculated protrusion located in the distal part of the large intestine. On colonoscopy, eight polyps had a smooth, spherical, and hyperemic surface, accompanied by a patchy mucous exudate. Magnification endoscopy revealed a rugged surface composed of smooth nodules. These colonoscopic findings corresponded to hyperplastic glands with occasional cystic dilation and inflamed stroma with proliferation of smooth-muscle fibers. Inflammatory myoglandular polyp appears to be a distinctive clinical entity, with a unique appearance on colonoscopy.

摘要

炎症性肌腺性息肉是一种罕见的大肠良性息肉。我们治疗了9例经组织学证实的炎症性肌腺性息肉。这些息肉表现为位于大肠远端的带蒂突出物。在结肠镜检查中,8个息肉表面光滑、呈球形且充血,伴有斑片状黏液渗出。放大内镜检查显示表面由光滑结节组成,高低不平。这些结肠镜检查结果对应于增生性腺体,偶见囊性扩张,以及伴有平滑肌纤维增生的炎症性间质。炎症性肌腺性息肉似乎是一种独特的临床实体,在结肠镜检查中有独特的表现。

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