Koch H
Endoscopy. 1981 Jul;13(4):148-51. doi: 10.1055/s-2007-1021670.
Among a total of 34 patients with epithelial gastric polyps, premalignant or malignant polyps were discovered in ten cases, and removed with the aid of the polypectomy snare. Of six borderline lesions, some of which have been followed up for more than two years, none has developed into a carcinoma. One patient who presented with a malignant hyperplasiogenous polyp - an extremely rare finding - has so far remained free from cancer. In a further case with early carcinoma, Type I, two borderline lesions subsequently developed at different parts of the stomach, finally being followed by a second early carcinoma, Type IIc. One of the adenomas removed revealed a neoplastic transformation, so that immediate surgery was necessary. All in all, the results show that, under certain condition, endoscopic polypectomy can represent a valuable therapeutic procedure in premalignant and malignant changes in the stomach.
在总共34例胃上皮息肉患者中，发现10例存在癌前或恶性息肉，并借助息肉圈套器将其切除。在6例临界病变中，部分病例已随访两年多，无一发展为癌症。1例出现恶性增生性息肉的患者——这是极为罕见的发现——目前仍未患癌。在另一例早期I型癌患者中，胃的不同部位随后出现了2例临界病变，最终又出现了1例IIc型早期癌。切除的腺瘤中有1例显示有肿瘤转化，因此需要立即进行手术。总体而言，结果表明，在某些情况下，内镜下息肉切除术对于胃的癌前和恶性病变可能是一种有价值的治疗方法。
