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12例结直肠锯齿状病变临床、内镜及病理形态观察及分类 被引量:2

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摘要 目的:分析结直肠锯齿状病变内镜下形态及病理分类。方法:运用形态方法对417例结直肠腺瘤性息肉及206例结直肠增生性息肉进行回顾性分析。结果:经阅片从中筛选出腺体具有锯齿状特征的息肉及腺瘤共12例,其中包括具有锯齿状形态的增生性息肉(HP)7例,传统锯齿状腺瘤(TSA)3例,广基锯齿状腺瘤(SSA)1例,混合性息肉1例,锯齿状病变主要发生在直肠和乙状结肠,大多数(9例,占75%)内镜表现为息肉样型,肿瘤直径3mm~10mm,患者以腹痛就诊者7例(58.33%),腹泻3例(25.00%),便血2例(16.67%)。结论:通过形态学特点,可以区分和诊断各类结直肠锯齿状病变,以增强对锯齿状病变的认识,提高诊断正确率。
作者 景晓莉
出处 《青海医药杂志》 2013年第1期12-14,共3页 Qinghai Medical Journal
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  • 1刘思德,李明松,陈学清,岳辉,赖卓胜,智发朝,张亚历,姜泊.大肠侧向发育型肿瘤(LST)的内镜诊治[J].解放军医学杂志,2004,29(11):928-931. 被引量:33
  • 2韩宇晶,赖卓胜,李明松,刘思德,姜泊.放大内镜及实体显微镜对结肠肿瘤性病变检查的意义[J].解放军医学杂志,2004,29(11):938-940. 被引量:18
  • 3刘思德,岳辉,李明松,陈学清,赖卓胜,智发朝,张亚历,姜泊.罕见大肠平坦型病变并锯齿状腺瘤2例报道[J].解放军医学杂志,2004,29(11):941-942. 被引量:12
  • 4来茂德.结直肠锯齿状病变与癌[J].中华病理学杂志,2006,35(2):65-67. 被引量:17
  • 5Jass JR.Hyperplastic-like polyps as precursors of microsatellite-unstable colorectal cancer.Am J Clin Pathol,2003,119:773-775.
  • 6Torlakovic E,Snover DC.Serrated adenomatous polyposis in humans.Gastroenterology,1996,110:748-755.
  • 7Urbanski SJ,Kossakowska AE,Marcon N,et al.Mixed hyperplastic adenomatous polyps-an underdiagnosed entity.Report of a case of adenocarcinoma arising within a mixed hyperplastic adenomatous polyp.Am J Surg Pathol,1984,8:551-556.
  • 8Longacre TA,Fenoglio-Preiser CM.Mixed hyperplastic adenomatous polyps/serrated adenomas.A distinct form of colorectal neoplasia.Am J Surg Pathol,1990,14:524-537.
  • 9Jass JR,Smith M.Sialic acid and epithelial differentiation in colorectal polyps and cancer-a morphological,mucin and lectin histochemical study.Pathology,1992,24:233-242.
  • 10Jass JR,Young J,Leggett BA.Evolution of colorectal cancer:change of pace and change of direction.J Gstroenterol Hepatol,2002,17:17-26.

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  • 1Torlakovic E, Skovlund E, Snorer DC, et al. Morphologic reappraisal of serrated colorectal polyps [J]. Am J Surg Pathol, 2003,27( 1 ) :65-81.
  • 2Shover DC, Jass JR, Fenoglio-Preiser C, et al. Serrated polyps of the large intestine:a morphologic and molecular review of an evolving concept [ J ]. Am J Clin Patho1,2005,124 ( 3 ) : 380 -391.
  • 3Chlumsk6 A, Boudov6 L,ZOmecnfk M. Sessile serrated adenomas of the large bowel. Clinicopathologic and including comparison with common hyperplastic polyps adenomas [J]. Cesk Patol,2006,42(3) : 133-138.
  • 4study and Kambara T, Simms LA, Whitehall VL, et al. BRAF mutation is associated with DNA methylation in serrated polyps and cancers of the colorectum [ J ]. Gut ,2004,53 ( 8 ) : 1137-1144.
  • 5O'Brien MJ, Yang S, Mack C, et al. Comparison of microsatellite instability,CpG island methylation phenotype, BRAF and KRAS status in serrated polyps and traditional adenomas indicates separate pathways to distinct colorectal carcinoma end points [ J ]. Am J Surg Patho1,2006,30 ( 12 ) : 1491-1501.
  • 6Velho S,Moutinho C,Cirnes L,et al. BRAF,KRAS and PIK3CA mutations in colorectal serrated polyps and cancer: primary or secondary genetic events in eolorectal carcinogenesis [J]. BMC Cancer,2008,8:255.
  • 7Sawamiphak S, Seidel S, Essmann CL, et al. Ephrin-B2 regulates VEGFR2 function in developmental and tumour angiogenesis [ J]. Nature ,2010,465 (7297) :487-491.
  • 8Genander M, Frisn J. Ephrins and Eph receptors in stem cells and cancer [ J]. Curr Opin Cell Bio1,2010,22 ( 5 ) :611-616.
  • 9Deqin M, Chen Z, Nero C, et al. Somatic deletions of the polyA tract in the 3 ' untranslated region of epidermal growth factor receptor are common in microsatellite instability-high endometrial and colorectal carcinomas [ J]. Arch Pathol Lab Med,2012,136(5 ) :510-516.
  • 10O'Brien MJ, Yang S, Mack C, et al. Comparison of microsatellite instability, CpG island methylation phenotype, BRAF and KRAS status in serrated polyps and traditional adenomas indicates separate pathways to distinct coloreetal carcinoma end points [ J]. Am J Surg Patho1,2006,30 ( 12 ) :1491-1501.

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