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锯齿状息肉综合征的病理生理学、诊断及管理概述

Overview of serrated polyposis syndrome from pathophysiology, diagnosis, and management.

作者信息

Li Zong-Yang, Li Tong, Cai Hong-Qiao

机构信息

Department of Hepatobiliary and Pancreatic Surgery, General Surgery Center, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China.

出版信息

World J Clin Oncol. 2025 Apr 24;16(4):103343. doi: 10.5306/wjco.v16.i4.103343.

DOI:10.5306/wjco.v16.i4.103343
PMID:40290679
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12019272/
Abstract

This editorial discusses Thompson 's original article, which is published in the most recent edition of the and sheds critical light on the intertwined issues of health anxiety and work loss in individuals diagnosed with serrated polyposis syndrome (SPS). SPS is rare, characterized by the development of multiple serrated colorectal polyps. This editorial provides an overview of SPS, including its pathophysiology, clinical presentation, diagnostic criteria, management strategies, and the psychosocial impact. SPS is linked to molecular alterations, which drive carcinogenesis. Colonoscopy and histological analysis are used for diagnosis. Genetic testing is also considered where there is a family history. Quality of life can be greatly impacted by the psychosocial effects of SPS, especially health anxiety. Further understanding of the molecular mechanisms and creating individualized surveillance are required.

摘要

这篇社论讨论了汤普森的原创文章,该文章发表在最新一期的[期刊名称未给出]上,对被诊断为锯齿状息肉综合征(SPS)的个体中健康焦虑和工作丧失这两个相互交织的问题进行了批判性审视。SPS很罕见,其特征是多发性锯齿状结直肠息肉的形成。这篇社论概述了SPS,包括其病理生理学、临床表现、诊断标准、管理策略以及社会心理影响。SPS与驱动致癌作用的分子改变有关。结肠镜检查和组织学分析用于诊断。有家族病史时也会考虑进行基因检测。SPS的社会心理影响,尤其是健康焦虑,会对生活质量产生重大影响。需要进一步了解分子机制并制定个性化监测方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24af/12019272/d714112ef62e/103343-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24af/12019272/d714112ef62e/103343-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24af/12019272/d714112ef62e/103343-g001.jpg

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本文引用的文献

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Health anxiety and work loss in patients diagnosed with serrated polyposis syndrome: A cross sectional study.锯齿状息肉综合征患者的健康焦虑与工作丧失:一项横断面研究。
World J Clin Oncol. 2025 Feb 24;16(2):97107. doi: 10.5306/wjco.v16.i2.97107.
2
Clinical and endoscopic characteristics and management of 220 cases with serrated polyps.220例锯齿状息肉的临床及内镜特征与处理
Asian J Surg. 2024 Jan;47(1):195-200. doi: 10.1016/j.asjsur.2023.07.027. Epub 2023 Aug 2.
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Polyps and Colorectal Cancer in Serrated Polyposis Syndrome: Contribution of the Classical Adenoma-Carcinoma and Serrated Neoplasia Pathways.
锯齿状息肉病综合征中的息肉和结直肠癌:经典腺瘤-癌和锯齿状肿瘤发生途径的作用。
Clin Transl Gastroenterol. 2023 Aug 1;14(8):e00611. doi: 10.14309/ctg.0000000000000611.
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Impact of changing diagnostic criteria on the diagnosis of serrated polyposis syndrome.诊断标准的变化对锯齿状息肉综合征诊断的影响。
Endosc Int Open. 2023 Jan 4;11(1):E39-E42. doi: 10.1055/a-1958-2529. eCollection 2023 Jan.
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Serrated polyposis syndrome; epidemiology and management.锯齿状息肉综合征;流行病学与管理。
Best Pract Res Clin Gastroenterol. 2022 Jun-Aug;58-59:101791. doi: 10.1016/j.bpg.2022.101791. Epub 2022 Mar 16.
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Serrated Colorectal Lesions: An Up-to-Date Review from Histological Pattern to Molecular Pathogenesis.锯齿状结直肠病变:从组织学模式到分子发病机制的最新综述。
Int J Mol Sci. 2022 Apr 18;23(8):4461. doi: 10.3390/ijms23084461.
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Current Approaches in Managing Colonic Serrated Polyps and Serrated Polyposis.目前管理结肠锯齿状息肉和锯齿状息肉病的方法。
Annu Rev Med. 2022 Jan 27;73:293-306. doi: 10.1146/annurev-med-042220-024703.
8
Mapping psychosocial interventions in familial colorectal cancer: a rapid systematic review.家族性结直肠癌的心理社会干预措施映射:快速系统评价。
BMC Cancer. 2022 Jan 3;22(1):8. doi: 10.1186/s12885-021-09086-8.
9
Diagnosis, epidemiology and management of serrated polyposis syndrome: a comprehensive review of the literature.锯齿状息肉综合征的诊断、流行病学及管理:文献综述
Am J Transl Res. 2021 Jun 15;13(6):5786-5795. eCollection 2021.
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