Incze F
Chirurg. 1977 Jan;48(1):46-50.
The late results of various treatment of 114 patients with malignant rectal polyps were found to be similar over a 5-25-year follow-up. On this basis, the following principles of therapy were established: 1. All rectal polyps should be removed completely. 2. Local removal of a malignant polyp, looking macroscopically benign and of favorable size and location, is justified, even though a cancer - not infiltrating the stalk - is situated in the head of the polyp. In any other case a radical operation is indicated. 3. Patients should be held under a life-long supervision. 4. The control should be performed as an organized care.
对114例直肠恶性息肉患者进行了多种治疗,并在5至25年的随访中发现其远期结果相似。在此基础上,制定了以下治疗原则:1. 所有直肠息肉均应完全切除。2. 对于肉眼观良性、大小和位置适宜的恶性息肉,即使息肉头部存在未浸润蒂部的癌症,局部切除也是合理的。在任何其他情况下,均应进行根治性手术。3. 患者应接受终身监测。4. 监测应作为有组织的护理进行。