Simon H
Zentralbl Chir. 1980;105(20):1329-33.
A survey is presented on the incidence of colorectal carcinomas in the GDR, exogenous causes possibly being responsible for the increase in incidence, common screening methods, macro-anatomy and micro-anatomy of colorectal carcinoma, staging, prognosis, and pathways of metastases. The correlation between intestinal polypi and colorectal carcinoma as well as the frequency of their degeneration are also referred to. Adenomatous polypi (polypous adenoma), villous polypi (villous adenoma), and certain rare intestinal polypi, such as familial polyposis coli, multiple polyposis of the entire gastro-intestinal tract, as well as the Gardner- and Turcot-syndromes, are some of those polypi which depending on their size tend to malignant degeneration. Histological information provided by the pathologist is discussed in its value and importance for surgical practice.
本文介绍了民主德国结直肠癌的发病率、可能导致发病率上升的外部原因、常见的筛查方法、结直肠癌的大体解剖和显微解剖、分期、预后以及转移途径。还提及了肠息肉与结直肠癌之间的相关性及其恶变频率。腺瘤性息肉(息肉状腺瘤)、绒毛状息肉(绒毛状腺瘤)以及某些罕见的肠息肉,如家族性结肠息肉病、全胃肠道多发性息肉病以及加德纳综合征和图尔科特综合征等,这些息肉根据其大小往往容易发生恶性变。文中讨论了病理学家提供的组织学信息对手术实践的价值和重要性。