Hancke E, Remmele W
Chirurg. 1978 Dec;49(12):757-68.
Report on 3037 colorectal polyps from the Deutsche Klinik für Diagnostik Wiesbaden that were observed within about 6 years and submitted to microscopic examination. The polyps were classified according to the WHO nomenclature, 1976. Adenomas and metaplastic (hyperplastic) polyps were the most frequenty types. The terms 'carcinoma in situ,' 'focal carcinoma,' 'adenoma with severe cellular atypia,' and 'malignant polyp' are explained and discussed in view of possible false interpretations by the surgeon. It is stressed that only the term 'adenoma with severe cellular atypia' (WHO classification) should be retained. In 286 cases, primary multiplicity of polyps was observed. There were recurrent polyp(s) in 154 cases (7%). Most frequently the recurrent polyp(s) corresponded to the type that had been found during the first examination. Finally, some remarks are made concerning the techniques of biopsy and of pathological examination.
关于德国威斯巴登诊断诊所约6年内观察到并送检显微镜检查的3037例大肠息肉的报告。息肉根据1976年世界卫生组织命名法进行分类。腺瘤和化生（增生性）息肉是最常见的类型。鉴于外科医生可能的错误解读，对“原位癌”“局灶性癌”“具有严重细胞异型性的腺瘤”和“恶性息肉”等术语进行了解释和讨论。强调仅应保留“具有严重细胞异型性的腺瘤”（世界卫生组织分类）这一术语。在286例中观察到息肉原发性多发性。154例（7%）有复发性息肉。复发性息肉最常与首次检查时发现的类型一致。最后，对活检技术和病理检查技术作了一些说明。
