首页|大肠扁平腺瘤及腺癌的临床及病理特征分析

大肠扁平腺瘤及腺癌的临床及病理特征分析

扫码查看
目的 探讨大肠扁平腺瘤及腺癌的临床及病理特征.方法 回顾性分析武汉大学人民医院2019年1月至2022年12月行肠镜检查且取活检的802例大肠扁平病变患者的临床及病理资料,对大肠扁平腺瘤及腺癌进行恶性程度相关因素分析.结果 802例大肠扁平病变病例,主要类型为管状腺瘤(48.6%);≤5 mm的病变相对较多(43.9%),其中腺瘤及腺癌有152例(43.2%);有422例为腺瘤及腺癌,多发于男性(62.1%),好发于40岁以上(94.8%),但年龄及性别均与其恶性程度无关(P>0.05);大肠扁平腺瘤及腺癌的恶性程度与病变直径、部位、类型及形态有相关性(P<0.05).结论 大肠扁平病变类型呈多样性,主要为管状腺瘤.病变大小、位置、类型及表面形态可能是大肠扁平腺瘤及腺癌恶性程度相关因素.
Analysis of clinical and pathological features of colorectal flat adenoma and adeno-carcinoma
Objective To investigate the clinical and pathological features of colorectal flat adenoma and adenocarci-noma.Methods Clinical and pathological data of 802 patients with colorectal flat lesions who underwent colonoscopy and biopsy in Renmin Hospital of Wuhan University from Jan.2019 to Dec.2022 were retrospectively analyzed.The colorectal adenomatous and andadenocarcinoma groups were selected to analyze the factors related to grade malignancy.Results There were 802 cases of flat lesions of large intestine,the main type was tubular adenoma(48.6%).There were more lesions ≤5 mm(43.9%),among which 152 cases were adenoma and adenocarcinoma(43.2%).There were 422 cases of adenoma and adenocarcinoma,most of which were male(62.1%)and most of which were over 40 years old(94.8%),but age and sex were not related to the degree of malignancy(P>0.05).The degree of malignancy of colorectal adenomatous polyps and adenocarcinomas are related to the diamete of the lesion,the location of the lesion,the type of lesion,and the morphological characteristics of the lesion.Conclusion The types of rectal flat lesions were diverse,mainly manifested as tubular adenoma.The lesions size,location,type and surface morphology may be related factors to the malignancy degree of colorectal adenomatous polyps and adenocarcinomas.

Flat lesion of colorectalFlat adenomaHistopathologyMorphology

吴白馨、余晓云、沈磊

展开 >

武汉大学人民医院消化内科,湖北武汉 430060

华中科技大学同济医学院附属协和医院消化内科

大肠扁平病变 扁平腺瘤 组织病理学 形态学

2024

胃肠病学和肝病学杂志
郑州大学

胃肠病学和肝病学杂志

CSTPCD
影响因子:1.029
ISSN:1006-5709
年,卷(期):2024.33(7)