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52例大肠锯齿状息肉的病理及临床特征回顾性研究

A retrospective study on pathological and clinical characteristics of 52 cases with the colorectal serrated polyp.

作者信息

Hua Xu Li, Jun Li Qian, Feng Shen Xiao, Jing Da, Wen Zhu Ya

机构信息

Xu Li Hua, Department of Gastroenterology, The Sixth People's Hospital of Nantong, Nantong, Jiangsu-226011, China.

Li Qian Jun, Department of Gastroenterology, Huai'an First People's Hospital, Nanjing Medical University, Huai'an 223300, Jiangsu 226011, China.

出版信息

Pak J Med Sci. 2019 Jan-Feb;35(1):257-261. doi: 10.12669/pjms.35.1.238.

Abstract

BACKGROUND AND OBJECTIVE

Colorectal serrated polyp is considered as histologically heterogeneous lesions with malignant potential. The aim of the study was to evaluate the endoscopic, clinic and pathologic characteristics of colorectal serrated polyps.

METHODS

The endoscopic, clinic and pathologic characteristics of 52 cases with colorectal serrated polyps between January 2014 and May 2018 in our hospital were analyzed. retrospectively.

RESULTS

The prevalence of serrated polyps was 0.39% (52/13,346). The proportions of hyperplastic polyp (HP), sessile serrated adenoma/polyp (SSA/P), and traditional serrated adenoma (TSA) of all serrated polyps were 61.5%, 17.3%, and 21.2%, respectively, which showed a lower proportion of TSA and SSA/P and a higher proportion of HP.

CONCLUSIONS

The overall detection rate of colorectal serrated polyps was relatively low, and it is necessary to discriminate between SSAPs and HPs during endoscopic examination because of the malignant potential.

摘要

背景与目的

结直肠锯齿状息肉被认为是具有恶性潜能的组织学异质性病变。本研究旨在评估结直肠锯齿状息肉的内镜、临床及病理特征。

方法

回顾性分析2014年1月至2018年5月我院收治的52例结直肠锯齿状息肉患者的内镜、临床及病理特征。

结果

锯齿状息肉的患病率为0.39%(52/13346)。所有锯齿状息肉中,增生性息肉(HP)、无蒂锯齿状腺瘤/息肉(SSA/P)和传统锯齿状腺瘤(TSA)的比例分别为61.5%、17.3%和21.2%,TSA和SSA/P的比例较低,HP的比例较高。

结论

结直肠锯齿状息肉的总体检出率相对较低,由于其具有恶性潜能,在内镜检查时需鉴别SSAPs和HPs。

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