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[胃黏膜息肉的病理学]

[Pathology of gastric mucosa polyps].

作者信息

Stamm B, Sulser H, Stahlberger-Bucher R

出版信息

Schweiz Med Wochenschr. 1985 Aug 17;115(33):1120-7.

PMID:4035329
Abstract

More frequent use of the endoscope to remove gastric mucosal polyps has also led to better knowledge of the pathology of these polyps. Their classification is still a matter of debate, and hence, by way of introduction, the notions of hyperplastic, hyperplasiogenous and hyperplastic-adenomatous polyp, adenoma, borderline lesion protruded type, foveolar hyperplasia and cysts of the gastric glands are presented. The authors give preference to the WHO classification of 1977. Among 196 mucosal polyps examined between 1970 and 1982 84% were hyperplastic (hyperplasiogenous) polyps, 15.5% adenomas and there was a single specimen of hamartomatous polyp. One in every 6 adenomas showed malignant changes and 5 of the 165 hyperplastic polyps were associated with gastric carcinoma. Problems of diagnosis, classification and prognosis are briefly discussed.

摘要

更频繁地使用内窥镜切除胃黏膜息肉也使人们对这些息肉的病理学有了更深入的了解。它们的分类仍然存在争议,因此,作为引言,本文介绍了增生性、增生源性和增生性腺瘤性息肉、腺瘤、边界性病变突出型、胃小凹增生和胃腺囊肿的概念。作者倾向于采用1977年世界卫生组织的分类。在1970年至1982年间检查的196个黏膜息肉中,84%为增生性(增生源性)息肉,15.5%为腺瘤,仅有1例错构瘤性息肉标本。每6个腺瘤中有1个显示出恶性变化,165个增生性息肉中有5个与胃癌有关。文中简要讨论了诊断、分类和预后问题。

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