Linchenko I F, Linchenko V I
Klin Khir (1962). 1990(5):5-7.
Among 218 patients with cancer of the large intestine, in 56 (25.7%), a tumor was associated with single, or multiple polyps. In morphological study, considerable dysplasia of glandular epithelium was revealed in 43.7%, and malignization--in 9.2% of accompanying polyps. Considering association of cancer with adenomas as one of the forms of large intestinal polyneoplasia, the authors recommend to perform in such patients typical radical operations in combination with endoscopic polypectomy, and extend the volume of resection only in polyp malignization with invasion of the tela submucosa, or diffuse polyposis.
在218例大肠癌患者中,56例(25.7%)的肿瘤与单个或多个息肉有关。形态学研究显示,43.7%的伴随息肉存在腺上皮显著发育异常,9.2%存在恶变。鉴于癌与腺瘤的关联是大肠息肉病的一种形式,作者建议对此类患者进行典型的根治性手术并结合内镜下息肉切除术,仅在息肉恶变伴有黏膜下层浸润或弥漫性息肉病时扩大切除范围。