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[内镜下切除伴有浸润性腺癌的结肠息肉。19例病例系列]

[The endoscopic polypectomy of colonic polyps with invasive adenocarcinoma. A series of 19 cases].

作者信息

Alonso Aguirre P, Vázquez-Iglesias J L, Arnal Monreal F, Suárez López F, Yáñez López J

机构信息

Servicio de Aparato Digestivo, Hospital Juan Canalejo, La Coruña.

出版信息

Rev Esp Enferm Dig. 1991 Dec;80(6):376-9.

PMID:1786183
Abstract

We review the endoscopic polypectomies done at the "Juan Canalejo" Hospital in the last 6 years (1984-1989). Out of a 509 adenomatous polyps, 19 showed invasive adenocarcinoma seen in 18 patients (there were two carcinomatous polyps in one single patient), 11 men and 7 women. The median age was 67 years and all of them were located in the left side of the colon or the rectum. The average size was 3 cm and the most frequent histologic type was villoglandular (58%) followed by the villous (26%) and adenomatous (16%). The endoscopic resection was curative in all but one patient that presented vascular invasion in the resected polyp.

摘要

我们回顾了“胡安·卡纳莱霍”医院在过去6年(1984 - 1989年)所做的内镜下息肉切除术。在509个腺瘤性息肉中,19个显示为浸润性腺癌,见于18例患者(有1例患者有两个癌性息肉),其中男性11例,女性7例。中位年龄为67岁,所有病变均位于结肠左侧或直肠。平均大小为3厘米,最常见的组织学类型是绒毛腺管状(58%),其次是绒毛状(26%)和腺瘤性(16%)。除1例切除的息肉存在血管侵犯的患者外,内镜切除对所有患者均有治愈效果。

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