Strekalovsky V P
Endoscopy. 1983 Mar;15(2):49-52. doi: 10.1055/s-2007-1018609.
The author analyses the results of endoscopic removal of 136 villous tumors of the colon in 125 patients. The tumors ranged from 2 cm to over 6 cm in size. In the article emphasis is placed on the fact that multi-stage interventions are mainly practiced in the removal of villous tumors. A study of the histological structure has shown that malignancy in the group of villous tumors is considerably more rarely encountered than in the group of combined papillary adenomas, despite the fact that villous tumors are larger than glandular-villous adenomas. Dynamic supervision over a period of up to 7 years shows that in 68 out of 95 men there were no signs of recurrence, in 16 men the so-called "growth recurrence" was seen, and in 5 men continued growth of the primary tumor; in 2 cases new villous tumors were detected, and in 4 carcinomas were detected at the sites at which villous tumors had been previously removed. Endoscopic removal of villous tumors should rightfully be considered the procedure of choice in dealing with nodal and spreading tumors of the colon, especially in elderly patients suffering from severe accompanying diseases.
作者分析了125例患者的136例结肠绒毛状肿瘤的内镜切除结果。肿瘤大小从2厘米到超过6厘米不等。本文重点强调了在绒毛状肿瘤切除中主要采用多阶段干预这一事实。对组织结构的研究表明，尽管绒毛状肿瘤比腺绒毛状腺瘤大，但在绒毛状肿瘤组中恶性肿瘤的发生率比混合性乳头状腺瘤组要低得多。长达7年的动态监测显示，95名男性中有68人没有复发迹象，16名男性出现所谓的“生长复发”，5名男性原发性肿瘤持续生长；2例发现新的绒毛状肿瘤，4例在先前切除绒毛状肿瘤的部位检测到癌。内镜切除绒毛状肿瘤理应被视为处理结肠结节性和扩散性肿瘤的首选方法，尤其是对于患有严重伴发疾病的老年患者。
