重视结直肠息肉的临床诊治

被引：7

作者：

房静远

机构：

[1] 上海交通大学医学院附属仁济医院消化内科上海市消化疾病研究所

来源：

胃肠病学 | 2009年 / 14卷 / 06期

关键词：

结肠息肉; 结直肠肿瘤; 诊断; 治疗; 病理学; 组织学; 化学预防;

D O I：

暂无

中图分类号：

R735.3 [肠肿瘤]; R656.9 [结肠];

学科分类号：

100112 [医学生物化学与分子生物学]; 100201 [内科学];

摘要：

结直肠息肉可分为炎性息肉、增生性息肉、锯齿状息肉、腺瘤性息肉和错构瘤性息肉综合征。息肉有一定的癌变倾向(如腺瘤性息肉),而大部分息肉患者并无症状。由息肉发展至癌需数年时间。结肠镜检查可直接观察肠腔黏膜和切除息肉,是评估结直肠息肉最好的方法。推荐息肉摘除术后复查结肠镜,间隔时间依据内镜下息肉的特征、数量和大小而定。尽管许多研究已证明阿司匹林和其他的非甾体抗炎药以及环氧合酶(COX)-2抑制剂、高钙饮食、生物活性物成分具有潜在的化学预防作用,但还有许多问题亟待解决。

引用

页码：321 / 323

页数：3

共 10 条

[1]

Folic acid and sodium butyrate prevent tumorigenesis in a mouse model of colorectal cancer [J].

Lu, Rong ;

Wang, Xia ;

Sun, Dan-Feng ;

Tian, Xiao-Qing ;

Zhao, Shu-Liang ;

Chen, Ying-Xuan ;

Fang, Jing-Yuan .

EPIGENETICS, 2008, 3 (06) :330-335

[2]

“Did You Check My Colon for Flat Polyps?” Should Patients and Colonoscopists Really Be Concerned?.[J].Dan Li;Jonathan P. Terdiman.Gastroenterology.2008, 1

[3]

Comparison of magnified pit pattern interpretation with narrow band imaging versus chromoendoscopy for diminutive colonic polyps: a pilot study [J].

East, James E. ;

Suzuki, Noriko ;

Saunders, Brian P. .

GASTROINTESTINAL ENDOSCOPY, 2007, 66 (02) :310-316

[4]

Gastrointestinal polyposes: Clinical, pathological and molecular features [J].

Jass, Jeremy R. .

GASTROENTEROLOGY CLINICS OF NORTH AMERICA, 2007, 36 (04) :927-+

[5]

Screening colonoscopy: The benefits are durable; but are they as great as we thought?.[J].Amandeep K. Shergill;Jonathan P. Terdiman.Gastroenterology.2006, 6

[6]

Dietary fibre in food and protection against colorectal cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC): an observational study [J].

Bingham, SA ;

Day, NE ;

Luben, R ;

Ferrari, P ;

Slimani, N ;

Norat, T ;

Clavel-Chapelon, F ;

Kesse, E ;

Nieters, A ;

Boeing, H ;

Tjonneland, A ;

Overvad, K ;

Martinez, C ;

Dorronsoro, M ;

Gonzalez, CA ;

Key, TJ ;

Trichopoulou, A ;

Naska, A ;

Vineis, P ;

Tumino, R ;

Krogh, V ;

Bueno-de-Mesquita, HB ;

Peeters, PHM ;

Berglund, G ;

Hallmans, G ;

Lund, E ;

Skeie, G ;

Kaaks, R ;

Riboli, E .

LANCET, 2003, 361 (9368) :1496-1501

[7]

Morphologic reappraisal of serrated colorectal polyps [J].

Torlakovic, E ;

Skovlund, E ;

Snover, DC ;

Torlakovic, G ;

Nesland, JM .

AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2003, 27 (01) :65-81

[8]

Colorectal carcinoma associated with serrated adenoma – prevalence; histological features; and prognosis.[J]..J. Pathol..2001, 3

[9]

MIXED HYPERPLASTIC ADENOMATOUS POLYPS SERRATED ADENOMAS - A DISTINCT FORM OF COLORECTAL NEOPLASIA [J].

LONGACRE, TA ;

FENOGLIOPREISER, CM .

AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 1990, 14 (06) :524-537

[10]

Histopathology of serrated adenoma; its variants; and differentiation from conventional adenomatous and hyperplastic polyps..Li SC;Burgart L;.Arch Pathol Lab Med.2007,

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