[内镜下息肉切除术在结肠癌早期诊断中的应用]

[Endoscopic polypectomy in the early diagnosis of colonic carcinoma].

作者信息

Bergoz R, Borgeaud P, Stuckelberg G, de Peyer R, Widgren S

出版信息

Schweiz Med Wochenschr. 1980 Apr 26;110(17):638-41.

Abstract

281 colonic polypectomies, some of which were incomplete, were performed in 202 patients, revealing the presence of 19 (6.8%) non-adenomatous polyps, 218 (77.6%) benign adenomas, 23 (8.2%) adenomas with superficial carcinoma, 12 (4.3%) adenomas with invasive carcinoma and 9 (3.2%) polypoid carcinomas. Malignant adenomas are found in patients of 30 and over, being 3.5 times more frequent when the polyp has villous patterns. Their incidence increases with the diameter of the poly. 21 patients (12.5%) were submitted to further surgery on the basis of endoscopic or histological data. The significance of endoscopic polypectomy is discussed.

摘要

对202例患者实施了281例结肠息肉切除术，其中部分切除不完全，结果发现有19例（6.8%）非腺瘤性息肉、218例（77.6%）良性腺瘤、23例（8.2%）伴有浅表癌的腺瘤、12例（4.3%）伴有浸润癌的腺瘤以及9例（3.2%）息肉样癌。恶性腺瘤见于30岁及以上患者，当息肉呈绒毛状形态时其发生频率高3.5倍。其发生率随息肉直径增大而增加。21例患者（12.5%）基于内镜或组织学数据接受了进一步手术。讨论了内镜下息肉切除术的意义。