胃息肉消退——自发的还是诱发的?

W Haensch, K U Schentke
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引用次数: 0

摘要

在胃息肉的内镜随访研究中,我们检查了它们的自然消失,以及息肉切除术后其余息肉的反应。226例胃息肉患者中有28例(12.4%)自发性消失。19例患者随访时息肉完全消失。大量病例(16例)在没有息肉活检的情况下自行消失。在已知组织学的病例中,主要是炎性、良性息肉(18例患者中有16例)。206例内镜下息肉切除术中有19例(9.2%)有明显的残余组织。然而,只能诊断出息肉的一个癌前病变和一个恶性残余部分。在恶性变性(早期癌症)的情况下,通过4/5胃切除术成功治疗。
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[Regression of stomach polyps--spontaneous or induced?].

In an endoscopic follow-up study of gastric polyps we examined their spontaneous disappearance, and the reaction of the rest of polyps after polypectomy. We found spontaneous disappearance in 28 (12.4%) out of 226 patients with gastric polyps. 19 patients showed complete absence of polyps in the later follow-up. Spontaneous disappearance was found in a great number of cases without biopsy of the polyps themselves (16 patients). In the cases of known histology there were predominantly inflammatory, benign polyps (16 out of 18 patients). From among 206 endoscopic polypectomies evident residual tissue was left behind in 19 (9.2%) cases. However, only one premalignant and one malignant residual part of polyp could be diagnosed. In the case of malignant degeneration (early cancer) there was successful treatment by means of 4/5 gastric resection.

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