结直肠锯齿状腺瘤52例临床、内镜及病理特点分析

张浩; 田怡; 陈永其; 冯莉; 谢蕴; 陈世耀

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结直肠锯齿状腺瘤52例临床、内镜及病理特点分析

张浩 , 田怡 , 陈永其 , 冯莉 , 谢蕴 , 陈世耀

文章导航 > 蚌埠医学院学报 > 2012, 36 > 11: (1294-1295,1297)

引用本文:

Citation:

结直肠锯齿状腺瘤52例临床、内镜及病理特点分析

1.
1. 复旦大学附属中山医院消化内科, 上海 200032;
2.
2. 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

作者简介: 张浩(1977- ), 女, 主治医师.

通讯作者: 陈世耀, syaochen@163.com

基金项目:

Analysis of the endoscopic and pathologic characteristics of 52 cases with the serrated adenoma of large intestine

1.
1. Department of Digestion Internal Medicine, Zhongshan Hospital Affiliated to Fudan University, Shanghai 200032;
2.
2. Department of Digestion Internal Medicine, Minhang District Central Hospital Affiliated to Shanghai Institute of Health Sciences, Shanghai 201199, China

Corresponding author: CHEN Shi-yao, syaochen@163.com

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。
- 结直肠肿瘤 /
- 结肠镜 /
- 病理特点
Abstract: 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.
- colorectal neoplasms /
- colonoscope /
- pathologic characteristics

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结直肠锯齿状腺瘤52例临床、内镜及病理特点分析

通讯作者: 陈世耀, syaochen@163.com

作者简介: 张浩(1977- ), 女, 主治医师.

1. 1. 复旦大学附属中山医院消化内科, 上海 200032;
2. 2. 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

收稿日期: 2012-03-19
网络出版日期: 2012-11-15

基金项目:

关键词:

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。

English Abstract

Analysis of the endoscopic and pathologic characteristics of 52 cases with the serrated adenoma of large intestine

Corresponding author: CHEN Shi-yao, syaochen@163.com

1. 1. Department of Digestion Internal Medicine, Zhongshan Hospital Affiliated to Fudan University, Shanghai 200032;
2. 2. Department of Digestion Internal Medicine, Minhang District Central Hospital Affiliated to Shanghai Institute of Health Sciences, Shanghai 201199, China

Received Date: 2012-03-19
Available Online: 2012-11-15

Abstract: 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.