Spjut H J, Appel M F
Curr Probl Cancer. 1979 Dec;4(6):23-42. doi: 10.1016/s0147-0272(79)80021-5.
Ninety patients who had epithelial polyps or carcinoma of the large bowel and underwent at least 2 colonscopic examinations were studied. The cases were divided into three groups: patients who ;ad only one polyp; those in whom more than one epithelial polyp were found and those who had adenocarcinoma of the large bowel and underwent follow-up colonoscopic examinations. The distribution of the polpys was plotted as to type and distribution in the colon. There seemed to be a trend for the polyp found in follow-up examinations to be located proximal to the splenic flexure. In this regard it was noted that the subsequently found polyps in group II were smaller than those removed on the initial colonoscopic examination. No relationship could be found between any histologic type of epithelial polyp and the presence of carcinoma.
对90例患有大肠上皮息肉或癌且至少接受过2次结肠镜检查的患者进行了研究。这些病例被分为三组:仅患有一个息肉的患者;发现有一个以上上皮息肉的患者;以及患有大肠腺癌并接受随访结肠镜检查的患者。根据息肉的类型和在结肠中的分布绘制了息肉分布图。随访检查中发现的息肉似乎有位于脾曲近端的趋势。在这方面,值得注意的是,第二组中随后发现的息肉比初次结肠镜检查时切除的息肉小。上皮息肉的任何组织学类型与癌的存在之间均未发现关联。