期刊文献+

老年患者结直肠侧向发育型肿瘤手术前后病理结果的对比 被引量:1

下载PDF
导出
摘要 目的探讨比较老年患者结直肠侧向发育型肿瘤(LSTs)的术前活检与术后病理诊断的异同。方法选取92例老年患者,经术前活检明确诊断腺瘤并伴有上皮内瘤变或癌变的侧向发育型肿瘤,并行手术治疗患者的临床资料,对切除前后的病理结果及病变形态进行统计分析。结果术前活检与术后病理诊断结果一致率为59.8%(55/92),其中低级别上皮内瘤变腺瘤与高级别上皮内瘤变腺瘤病理诊断结果一致率比较无统计学差异(P>0.05)。本组有30例术后病理较活检病理程度加重,术后病理证实10例发生癌变;有7例术后病理较活检病理程度减轻,术后病理证实4例为非肿瘤性病变。此外,术后病理加重组与病理相同组比较,病变直径≥30 mm、大体分型、腺管开口类型3方面差异显著(P<0.05)。结论术前活检结果不能完全代表侧向发育型肿瘤的性质,需结合病变直径、大体分型、腺管开口类型三个病变特征进行准确活检,提高术前诊断率,并选择最佳治疗方案。
出处 《中国老年学杂志》 CAS CSCD 北大核心 2016年第8期1904-1905,共2页 Chinese Journal of Gerontology
  • 相关文献

参考文献3

二级参考文献58

  • 1[1]Kudo S,Hirota S,Nakajima T,Hosobe S,Kusaka H,Kobayashi T,Himori M,Yagyuu A.Colorectal turnouts and pit pattern.J Clin Pathol 1994; 47:880-885
  • 2[2]Imai Y,Kudo S,Tsuruta O,Fujii T,Hayashi S,Tanaka S,Terai T.Problems and clinical significance of V type pit pattern diagnosis:report on round-table consensus meeting[in Japanese with English abstract].Early Colorectal Cancer 2001; 5:595-613
  • 3[3]Kudo S,Tamura S,Nakajima T,Yamano H,Kusaka H,Watanabe H.Diagnosis of colorectal tumorous lesions by magnifying endoscopy.Gastrointest Endosc 1996; 44:8-14
  • 4[4]Kudo S,Kashida H,Tamura T,Kogure E,Imai Y,Yamano H,Hart AR.Colonoscopic diagnosis and management of nonpolypoid early colorectal cancer.World J Surg 2000; 24:1081-1090
  • 5[5]Tanaka S,Haruma K,Ito M,Nagata S,Oh-e H,Hirota Y,Kunihiro M,Kitadai Y,Yosihara M,Sumii K,Kajiyama G.Detailed colonoscopy for detecting early superficial carcinoma:recent developments.J Gastroenterol 2000; 35 Suppl 12:121-125
  • 6[6]Fujii T,Hasegawa RT,Saitoh Y,Fleischer D,Saito Y,Sano Y,Kato S.Chromoscopy during colonoscopy.Endoscopy 2001; 33:1036-1041
  • 7[7]Hurlstone DP,Cross SS,Slater R,Sanders DS,Brown S.Detecting diminutive colorectal lesions at colonoscopy:a randomised controlled trial of pan-colonic versus targeted chromoscopy.Gut 2004; 53:376-380
  • 8[8]Hurlstone DP,Fujii T.Practical uses of chromoendoscopy and magnification at colonoscopy.Gastrointest Endosc Clin N Am 2005; 15:687-702
  • 9[9]Tanaka S,Kaltenbach T,Chayama K,Soetikno R.High-magnification colonoscopy (with videos).Gastrointest Endosc 2006; 64:604-613
  • 10[10]Togashl K,Konishi F,Ishizuka T,Sato T,Senba S,Kanazawa K.Efficacy of magnifying endoscopy in the differential diagnosis of neoplastic and non-neoplastic polyps of the large bowel.Dis Colon Rectum 1999; 42:1602-1608

共引文献41

同被引文献7

引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部