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首页> 中文期刊> 《蚌埠医学院学报》 >结直肠锯齿状腺瘤52例临床、内镜及病理特点分析

结直肠锯齿状腺瘤52例临床、内镜及病理特点分析

         
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摘要

目的:探讨结直肠锯齿状腺瘤患者的临床、内镜及病理特点.方法:对52例结直肠锯齿状腺瘤的临床、内镜及病理特点进行回顾分析.结果:病变位于直肠19例,位于乙状结肠13例,位于直肠乙状结肠交界处2例,位于降结肠6例,位于横结肠8例,位于升结肠3例,盲肠1例;多发1例,单发51例;腺瘤直径1～25 mm.52例中广基息肉32例,亚蒂息肉15例,有蒂息肉5例.病理学检查为单纯锯齿状腺瘤17例,锯齿状腺瘤伴低级别上皮内瘤变33例,锯齿状腺瘤伴局部高级别上皮内瘤变1例,锯齿状腺瘤局部恶变1例.结论:结直肠锯齿状腺瘤临床症状无特异,以单发广基息肉多见,多见于直肠,常伴上皮内瘤变.%Objective:To investigate the endoscopic and pathologic characteristics of 52 cases with the serrated adenoma of large intestine. Methods: The endoscopic and pathologic characteristics of 52 cases with the serrated adenoma of large intestine were retrospectively analysed. Results:Among 52 cases with serrated adenoma,there were 19 cases in rectum, 13 cases in sigmoid colon,2 cases in the junction of rectum and sigmoid colon,6 cases in descending colon,8 cases in transverse colon,3 cases in ascending colon and 1 case in cecum. One case with multiple adenoma and 51 cases with single adenoma were found, which diameters were 1 to 25 mm. Fifty-five cases with serrated adenoma included 32 cases with wide base polyps, 15 cases with sub-pedicle polyps and 5 cases with pedicle polyps. The pathologic examination showed 17 cases with pure serrated adenoma,33 cases with serrated adenoma complicated with low grade intraepithelial neoplasia, 1 case with serrated adenoma complicated with high grade intraepithelial neoplasia and 1 case with local malignant of serrated adenoma. Conclusions: The clinical symptoms of serrated adenoma are non-specificity, the single and wide base polyps complicated with intraepithelial neoplasia are most,located in rectum.

著录项

  • 来源
    《蚌埠医学院学报》 |2012年第11期|1294-12951297|共3页
  • 作者

    张浩; 田怡; 陈永其; 冯莉; 谢蕴; 陈世耀;

  • 作者单位

    复旦大学附属中山医院;

    消化内科;

    上海;

    200032;

    上海医药高等专科学校附属闵行区中心医院;

    消化内科;

    上海;

    201199;

    上海医药高等专科学校附属闵行区中心医院;

    消化内科;

    上海;

    201199;

    上海医药高等专科学校附属闵行区中心医院;

    消化内科;

    上海;

    201199;

    上海医药高等专科学校附属闵行区中心医院;

    消化内科;

    上海;

    201199;

    上海医药高等专科学校附属闵行区中心医院;

    消化内科;

    上海;

    201199;

    复旦大学附属中山医院;

    消化内科;

    上海;

    200032;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类 R735.35;
  • 关键词

    结直肠肿瘤; 结肠镜; 病理特点;

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