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结直肠癌:微小息肉的处理-最佳方法是什么?

Colorectal cancer: managing diminutive polyps-what is the optimal approach?

机构信息

Department of Radiology, University of Wisconsin School of Medicine and Public Health, E3/311 Clinical Science Center, 600 Highland Avenue, Madison, WI 53792-3252, USA.

出版信息

Nat Rev Gastroenterol Hepatol. 2011 Mar;8(3):129-31. doi: 10.1038/nrgastro.2011.19.

DOI:10.1038/nrgastro.2011.19
PMID:21383669
Abstract

A single‑center study demonstrates that omitting pathologic examination of some resected diminutive polyps rarely changes management. these results are indicative of the overall innocuous nature of diminutive polyps, and reinforce the rationale underlying the use of alternative polypectomy strategies at Ct colonography rather than universal polypectomy for the management of these lesions.

摘要

一项单中心研究表明,省略对某些切除的微小息肉的病理检查很少会改变治疗方案。这些结果表明微小息肉总体上是无害的,并且强化了在 CT 结肠成像中使用替代息肉切除术策略而不是对这些病变进行普遍息肉切除术的基本原理。

相似文献

1
Colorectal cancer: managing diminutive polyps-what is the optimal approach?结直肠癌:微小息肉的处理-最佳方法是什么?
Nat Rev Gastroenterol Hepatol. 2011 Mar;8(3):129-31. doi: 10.1038/nrgastro.2011.19.
2
Editorial: Detection of small polyps: much ado about nothing?社论:检测小息肉:小题大做?
Am J Gastroenterol. 2010 Dec;105(12):2586-7. doi: 10.1038/ajg.2010.365.
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Management of subcentimetric polyps detected by CT colonography.CT 结肠成像检测到的亚厘米大小息肉的处理。
Nat Rev Gastroenterol Hepatol. 2013 Feb;10(2):119-24. doi: 10.1038/nrgastro.2012.222. Epub 2012 Nov 20.
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Debate: diminutive polyps noted at CT colonography need not be reported.辩论:CT结肠成像检查中发现的微小息肉无需报告。
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Cancer Invest. 2020 Jul;38(6):339-348. doi: 10.1080/07357907.2020.1771724. Epub 2020 Jun 16.
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Should we refer diminutive polyps to post-CTC polypectomy?我们应该将微小息肉转诊至CTC息肉切除术后吗?
Gut. 2010 Jan;59(1):137. doi: 10.1136/gut.2009.183079.
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Small and diminutive polyps: implications for colorectal cancer screening with computed tomography colonography.
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Cold polypectomy techniques for diminutive polyps in the colorectum.冷切除技术在结直肠微小息肉中的应用。
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Risk of cancer in small and diminutive colorectal polyps.小的和微小的结直肠息肉的癌症风险。
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引用本文的文献

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Rate and Risk Factors of the Advanced Adenomas Among Diminutive Colorectal Polyps.微小结直肠息肉中进展性腺瘤的发生率及危险因素
Indian J Surg. 2015 Dec;77(Suppl 3):805-10. doi: 10.1007/s12262-013-1006-1. Epub 2013 Nov 13.
2
CT colonography for population screening: ready for prime time?用于人群筛查的CT结肠成像:准备好进入黄金时代了吗?
Dig Dis Sci. 2015 Mar;60(3):647-59. doi: 10.1007/s10620-014-3454-2. Epub 2014 Dec 10.
3
Utilization of surveillance after polypectomy in the medicare population--a cohort study.医疗保险人群息肉切除术后监测的应用——一项队列研究

本文引用的文献

1
Some diminutive colorectal polyps can be removed and discarded without pathological examination.一些微小的结直肠息肉可以在不进行病理检查的情况下切除和丢弃。
Endoscopy. 2011 Feb;43(2):81-6. doi: 10.1055/s-0030-1255952. Epub 2010 Nov 24.
2
The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy.计划门诊内镜检查后意外住院的发生率及费用
Arch Intern Med. 2010 Oct 25;170(19):1752-7. doi: 10.1001/archinternmed.2010.373.
3
Estimation of impact of American College of Radiology recommendations on CT colonography reporting for resection of high-risk adenoma findings.
PLoS One. 2014 Nov 13;9(11):e110937. doi: 10.1371/journal.pone.0110937. eCollection 2014.
美国放射学会关于切除高危腺瘤性病变的CT结肠成像报告建议的影响评估
Am J Gastroenterol. 2009 Jan;104(1):149-53. doi: 10.1038/ajg.2008.35.
4
Polyp size and advanced histology in patients undergoing colonoscopy screening: implications for CT colonography.结肠镜筛查患者的息肉大小与高级别组织学特征:对CT结肠成像的意义
Gastroenterology. 2008 Oct;135(4):1100-5. doi: 10.1053/j.gastro.2008.06.083. Epub 2008 Jul 3.
5
Surgical management and outcomes of 165 colonoscopic perforations from a single institution.来自单一机构的165例结肠镜检查穿孔的手术管理及结果
Arch Surg. 2008 Jul;143(7):701-6; discussion 706-7. doi: 10.1001/archsurg.143.7.701.
6
CT colonography versus colonoscopy for the detection of advanced neoplasia.CT结肠成像与结肠镜检查用于检测进展期肿瘤的比较
N Engl J Med. 2007 Oct 4;357(14):1403-12. doi: 10.1056/NEJMoa070543.
7
Clinical significance of small colorectal adenoma less than 10 mm: the KASID study.小于10毫米的小结肠直肠腺瘤的临床意义:KASID研究。
Hepatogastroenterology. 2007 Mar;54(74):418-21.
8
Complications of colonoscopy in an integrated health care delivery system.综合医疗服务体系中结肠镜检查的并发症
Ann Intern Med. 2006 Dec 19;145(12):880-6. doi: 10.7326/0003-4819-145-12-200612190-00004.
9
Prevalence of clinically important histology in small adenomas.小腺瘤中具有临床重要意义的组织学特征的患病率。
Clin Gastroenterol Hepatol. 2006 Mar;4(3):343-8. doi: 10.1016/j.cgh.2005.12.021.
10
Clinical significance of small colorectal polyps.小的结肠息肉的临床意义
Dis Colon Rectum. 2004 Apr;47(4):481-5. doi: 10.1007/s10350-003-0078-6. Epub 2004 Mar 4.