摘要
同一个患者的病变,同样的病理变化,如果分别被不同的病理医师诊断为上皮发生了"癌变"、"瘤变"和"病变",这对患者和医师来说是难以理解和接受的,通常会认定为其中的两个诊断必然有误。尤其对于患者而言,见到这三个不同的名称,其感受可能会有天壤之别。那么是不是病理医师真的出了差错呢?答案却是否定的。事实是在子宫颈原位癌与癌前相关病变的认识过程中,
出处
《医学争鸣》
CAS
北大核心
2010年第6期7-8,共2页
Negative
二级参考文献28
-
1Munkholm P,Langholz E,Nielsen OH,Kreiner S,Binder V.Incidence and prevalence of Crohn's disease in the county of Copenhagen,1962-87:a sixfold increase in incidence.Scand J Gastroenterol 1992; 27:609-614.
-
2Harper PH,Fazio VW,Lavery IC,Jagelman DG,Weakley FL,Farmer RG,Easley KA.The long-term outcome in Crohn's disease.Dis Colon Rectum 1987; 30:174-179.
-
3Brown AL,Skehan SJ,Greaney T,Rawlinson J,Somers S,Stevenson GW.Value of double-contrast barium enema performed immediately after incomplete colonoscopy.AJR Am J Roentgenol 2001; 176:943-945.
-
4Marmo R,Rotondano G,Piscopo R,Bianco MA,Siani A,Catalano O,Cipolletta L.Capsule endoscopy versus enteroclysis in the detection of small-bowel involvement in Crohn's disease:a prospective trial.Clin Gastroenterol Hepatol 2005; 3:772-776.
-
5Triester SL,Leighton JA,Leontiadis GI,Gurudu SR,Fleischer DE,Hara AK,Heigh RI,Shiff AD,Sharma VK.A meta-analysis of the yield of capsule endoscopy compared to other diagnostic modalities in patients with nonstricturing small bowel Crohn's disease.Am J Gastroenterol 2006; 101:954-964.
-
6Solem CA,Loftus EV Jr,Fletcher JG,Baron TH,Gostout CJ,Petersen BT,Tremaine WJ,Egan LJ,Faubion WA,Schroeder KW,Pardi DS,Hanson KA,Jewell DA,Barlow JM,Fidler JL,Huprich JE,Johnson CD,Harmsen WS,Zinsmeister AR,Sandborn WJ.Small-bowel imaging in Crohn's disease:a prospective,blinded,4-way comparison trial.Gastrointest Endosc 2008; 68:255-266.
-
7Cheon JH,Kim YS,Lee IS,Chang DK,Ryu JK,Lee KJ,Moon JS,Park CH,Kim JO,Shim KN,Choi CH,Cheung DY,Jang BI,Seo GS,Chun HJ,Choi MG.Can we predict spontaneous capsule passage after retention? A nationwide study to evaluate the incidence and clinical outcomes of capsule retention.Endoscopy 2007; 39:1046-1052.
-
8Gore RM,Balthazar EJ,Ghahremani GG,Miller FH.CT features of ulcerative colitis and Crohn's disease.AJR Am J Roentgenol 1996; 167:3-15.
-
9Doerfler OC,Ruppert-Kohlmayr AJ,Reittner P,Hinterleitner T,Petritsch W,Szolar DH.Helical CT of the small bowel with an alternative oral contrast material in patients with Crohn disease.Abdom Imaging 2003; 28:313-318.
-
10Casola G,vanSonnenberg E,Neff CC,Saba RM,Withers C,Emarine CW.Abscesses in Crohn disease:percutaneous drainage.Radiology 1987; 163:19-22.
共引文献11
-
1Francesco Tonelli,Francesco Giudici,Gadiel Liscia.Is lymphatic status related to regression of inflammation in Crohn's disease?[J].World Journal of Gastrointestinal Surgery,2012,4(10):228-233. 被引量:2
-
2Ian C Lawrance,Christopher J Welman,Peter Shipman,Kevin Murray.Small bowel MRI enteroclysis or follow through:Which is optimal?[J].World Journal of Gastroenterology,2009,15(42):5300-5306. 被引量:7
-
3朱明明,冉志华.炎症性肠病的鉴别诊断[J].胃肠病学,2011,16(1):1-4. 被引量:4
-
4章士正,任小军,邓丽萍,张峭巍.小肠MR造影[J].磁共振成像,2013,4(5):389-393. 被引量:12
-
5刘畅,徐辉雄.进一步提高经腹超声评估炎症性肠病的水平[J].世界华人消化杂志,2013,21(32):3467-3472. 被引量:2
-
6张建国,牛广明,吴光耀.小肠影像学检查新进展[J].放射学实践,2014,29(10):1230-1232. 被引量:8
-
7张建国,鲁海文,牛广明.新型产气剂在小肠造影中的研发应用[J].内蒙古医学杂志,2014,46(12):1414-1417. 被引量:1
-
8Dominik Bettenworth,Tobias M Nowacki,Friederike Cordes,Boris Buerke,Frank Lenze.Assessment of stricturing Crohn's disease:Current clinicalpractice and future avenues[J].World Journal of Gastroenterology,2016,22(3):1008-1016. 被引量:4
-
9左影,魏娟,黄伟.MR肠管成像指标评估小肠克罗恩病活动性的价值[J].临床放射学杂志,2016,35(8):1203-1207. 被引量:4
-
10徐孝新,陈洪.CT与MR造影对小肠克罗恩病诊断价值比较的Meta分析[J].东南大学学报(医学版),2019,38(2):223-229. 被引量:4
同被引文献9
-
1Vimig BA,Wang SY,Shamilyan T,et al. Ductal carcinoma in situ:risk factors and impact of screening[ J]. J Natl Cancer Inst Monogr,2010,2010(41) :113 -116.
-
2Welch HG, Black WC. Overdiagnosis in cancer[ J]. J Natl CancerInst,2010,102(9) :605 -613.
-
3Anderson WF,Chu KC. Ductal carcinoma in situ of the breast[ J].N Engl J Med,2004,351(4) :399 -402.
-
4Wang RA,Li ZS,Zhang HZ,et al. Invasive cancers are not necessa-rily from preformed in situ tumours - an alternative way of carci-nogenesis from misplaced stem cells[ J]. J Cell Mol Med,2013,17(7):921 -926.
-
5Tsubono Y,Hisamichi S. A halt to neuroblastoma screening in Ja-pan[J].N Engl J Med,2004,350(19) :2010-2011.
-
6Esserman U,Thompson U,Reid B. Overdiagnosis and overtreat-ment in cancer . an opportunity for improvement [ J ]. JAMA ,2013 ,310(8) :797 -798.
-
7王瑞安.原位癌不是癌[J].医学争鸣,2010,1(6):5-6. 被引量:10
-
8王瑞安.原位癌真的不是癌[J].中华保健医学杂志,2012,14(5):341-343. 被引量:6
-
9郑平菊.肿瘤:早诊早治的是与非[J].医学争鸣,2013,4(4):20-22. 被引量:2
-
1戴智莉,耿晓星.宫颈上皮内瘤样变的治疗[J].实用肿瘤学杂志,2007,21(5):478-480. 被引量:1
-
2莫甲光,卢文生,黄家财.TCT联合HPV及肿瘤标志物检测在宫颈癌中的意义[J].检验医学与临床,2012,9(10):1213-1214. 被引量:20
-
3伍艳莉,吴晓玲.69例宫颈上皮内瘤变的诊治[J].贵州医药,2010,34(2):130-132. 被引量:1
-
4洪本伦,陈惠祯.子宫颈原位癌的诊断与治疗134例报告[J].实用妇产科杂志,1990,6(1):39-40.
-
5廖凤儿,卢丽娜,陈金培.芳香化酶P450在子宫内膜癌中的表达及意义[J].实用医学杂志,2008,24(4):564-566.
-
6周勤,徐小蓉.nm23-H1在子宫颈原位癌及浸润癌中的表达[J].实用妇产科杂志,2001,17(2):81-82. 被引量:1
-
7刘青青,施新岗,李兆申.内镜黏膜下剥离术治疗早期食管癌进展[J].中华消化内镜杂志,2013,30(5):294-296. 被引量:20
-
8王凯宇.流式细胞术及DNA倍体分析在胃肿瘤研究中的新进展[J].中国民康医学,2007,19(6):219-220. 被引量:1
-
9胡敏.关于抑癌基因p53认识过程的反思[J].医学与哲学,1994,15(7):30-32. 被引量:2
-
10蔡丽平,刘宽荣,王海涛.子宫颈原位癌手术远期疗效临床观察[J].山西医药杂志(下半月),2010,39(7):674-675. 被引量:5