Lenner V, Daniels V, Brünner H
MMW Munch Med Wochenschr. 1980 Sep 5;122(36):1227-30.
The early appearance of "hard" and "soft" tumors should give cause to search regularly for intestinal polyposis. Once the diagnosis is made prophylactic total colectomy with ileorectal anastomosis is justified. With regard to a polyposis of the upper gastrointestinal tract, there is room for observation. The possibility of a peripapillary carcinoma with or without simultaneous involvement of stomach and duodenum must be reckoned with even years after a colectomy. Postoperative mesenteric fibroses and widespread adhesions are responsible for subileus and ileus. Because of their tendency to recur, desmoid tumors should only be treated operatively when this appears unavoidable by reason of local symptoms.
“硬”性和“软”性肿瘤的早期出现应促使定期检查是否存在肠息肉病。一旦确诊，行预防性全结肠切除术加回肠直肠吻合术是合理的。对于上消化道息肉病，可进行观察。即使在结肠切除术后数年，也必须考虑到乳头周围癌伴或不伴有胃和十二指肠同时受累的可能性。术后肠系膜纤维化和广泛粘连是导致亚肠梗阻和肠梗阻的原因。由于硬纤维瘤有复发倾向，只有在因局部症状而不可避免时才应进行手术治疗。
