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[非肿瘤性大肠息肉的临床病理特征]

[Clinicopathological features of non-neoplastic colorectal polyps].

作者信息

Jiang L, Jiao Y F

机构信息

Department of Pathology, the Second Affiliated Hospital, Harbin Medical University, Harbin 150086, China.

出版信息

Zhonghua Bing Li Xue Za Zhi. 2019 Feb 8;48(2):98-101. doi: 10.3760/cma.j.issn.0529-5807.2019.02.004.

Abstract

To characterize clinicopathological characteristics of the non-neoplastic colorectal polyps for accurate diagnosis. 1 190 cases were collected from the Second Affiliated Hospital of Harbin Medical University from January 2012 to December 2016 and their clinicopathological characteristics were reviewed. There were 746 males and 444 females patients with male/female ratio of 1.7∶1.0. The average age was 52 and 85.4% (1 016/1 190) of cases were over 40 years old. A total of 1 289 polyps were found in the study cohort including 1 238 inflammatory polyps (96.0%), 47 harmartomatous polyps (3.7%) and 4 other types of polypoid lesions (0.3%). Among 1 249 inflammatory polyps, 1 212 were inflammatory pseudopolyps (97.9%), 15 post-inflammatory polyps (1.2%), 8 inflammatory myoglandular polyps (0.6%), and 3 prolapse-type inflammatory polyps (colitis cystica profunda). Among 47 hamartomatous polyps, there were 39 juvenile polyps (83.0%), 8 Peutz-Jegher polyps (17.0%). Four polypoid lesions of endometriosis. Among 1 289 polyps, 751 polyps were located in sigmoid and rectum (58.3%). 168 polyps were pedunculated (12.9%) and 1 132 polyps were sessile (87.1%). For non-neoplastic colorectal polyps, the average age of patients is 40 years. The polyps generally involve the sigmoid colon and rectum. The most common pathological type is inflammatory pseudopolyp and the most common pathological type of hamartomatous polyp is juvenile subtype.

摘要

为准确诊断非肿瘤性大肠息肉的临床病理特征,收集了哈尔滨医科大学附属第二医院2012年1月至2016年12月的1190例病例,并回顾其临床病理特征。男性患者746例,女性患者444例,男女比例为1.7∶1.0。平均年龄为52岁,85.4%(1016/1190)的病例年龄超过40岁。研究队列中共发现1289个息肉,其中炎性息肉1238个(96.0%)、错构瘤性息肉47个(3.7%)以及其他类型息肉样病变4个(0.3%)。在1249个炎性息肉中,炎性假息肉1212个(97.9%)、炎症后息肉15个(1.2%)、炎性肌腺性息肉8个(0.6%)以及脱垂型炎性息肉(深部囊性结肠炎)3个。在47个错构瘤性息肉中,幼年性息肉39个(83.0%)、黑斑息肉病息肉8个(17.0%)。子宫内膜异位症息肉样病变4个。在1289个息肉中,751个位于乙状结肠和直肠(58.3%)。有蒂息肉168个(12.9%),无蒂息肉1132个(87.1%)。对于非肿瘤性大肠息肉,患者平均年龄为40岁。息肉一般累及乙状结肠和直肠。最常见的病理类型是炎性假息肉,错构瘤性息肉最常见的病理类型是幼年型。

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