维普中文期刊产品整合服务
共被期刊论文引用了4次 您的检索式:您选中1篇文献正在查看引证文献汇总
    题名 作者 年代 出处 被引量
1colorectal 损害的内视镜的纹身: 它是一个无风险的过程吗?显示文摘 Endoscopic tattooing is one of the most useful tools for the localization of small colorectal lesions especially in the laparoscopic setting.This is a minimally invasive endoscopic procedure without risk of major complications.However,many studies have revealed complications resulting from this procedure.In this article,several topics are reviewed including the accuracy,substance preparation,injected techniques and complications related to this procedure.Atthaphorn Trakarnsanga Thawatchai Akaraviputh 2011World Journal of Gastrointestinal Endoscopy2011,3,12:7
2结直肠恶性息肉的病理诊断要点显示文摘随着结肠镜技术的发展,越来越多的结直肠息肉在早期得到诊治。对内镜下切除的结直肠肿瘤的病理诊断包括病变性质诊断和程度诊断,准确判断是否存在黏膜下层的浸润以及浸润的深度十分重要。如果侵犯范围较广、淋巴或静脉血管侵犯明显,则需要进行后续手术切除,包括淋巴结清扫。近年提出肿瘤出芽和低分化肿瘤巢的新概念,且发现两者均与淋巴结转移相关。该文现就恶性息肉病理诊断中的相关问题作一综述。汪春年 方虹斐 周晓军 2021临床与实验病理学杂志2021,37,11:2
3Management of malignant colon polyps:Current status and controversies显示文摘Colon cancer remains a significant clinical problem worldwide and in the United States it is the third most common cancer diagnosed in men and women.It is generally accepted that most malignant neoplasms of the colon arise from precursor adenomatous polyps.This stepwise progression of normal epithelium to carcinoma,often with intervening dysplasia,occurs as a result of multiple sequential,genetic mutations-some are inherited while others are acquired.Malignant polyps are defined by the presence of cancer cells invading through the muscularis mucosa into the underlying submucosa(T1).They can appear benign endoscopically but the presence of malignant invasion histologically poses a difficult and often controversial clinical scenario.Emphasis should be initially focused on the endoscopic assessment of these lesions.Suitable polyps should be resected en-bloc,if possible,to facilitate thorough evaluation by pathology.In these cases,proper attention must be given to the risks of residual cancer in the bowel wall or in the surrounding lymph nodes.If resection is not feasible endoscopically,thenthese patients should be referred for surgical resection.This review will discuss the important prognostic features of malignant polyps that will most profoundly affect this risk profile.Additionally,we will discuss effective strategies for their overall management.Cary B Aarons Skandan Shanmugan Joshua IS Bleier 2014World Journal of Gastroenterology2014,20,43:1
4非内镜下黏膜剥离术切除结直肠高级别上皮内瘤变和癌变息肉的临床特征分析显示文摘目的非内镜下黏膜剥离术(ESD)切除结直肠息肉标本存在高级别上皮内瘤变(HGIN)和癌变可能,通过分析安徽省立医院非ESD切除结直肠已发生HGIN和癌变息肉的临床特征,为结直肠息肉选择最佳治疗方式提供临床证据。方法回顾性分析2019年1月1日至2022年4月30日于该院本部及南区所有行内镜下非ESD切除结直肠息肉的住院患者,分析术后病理已发生HGIN和癌变息肉的危险因素及内镜下特征。结果结直肠息肉非ESD切除患者共计9446例,其中已发生HGIN159例(1.68%,159/9446例);发生癌变83例(0.88%,83/9446例),HGIN和癌变共计发生率2.6%(242/9446例)。小于45岁HGIN和癌变合计占总体发生率8.7%(21/242例)。切除息肉标本为HGIN和癌变无法确定其切除部位、息肉大小、息肉形态合计发生率分别16.1%(40/248枚)、19.8%(49/248枚)、14.1%(35/248枚)。年龄(≥60岁)、息肉部位(直肠、乙状结肠)、息肉大小(≥1 cm)是息肉癌变危险因素;亚蒂、长蒂息肉是结直肠息肉HGIN和癌变的危险因素(P<0.05)。按性别分层,息肉数目和大小与息肉发生HGIN和癌变存在差异。长蒂息肉完整切除性较低(P<0.05)。83例息肉恶变患者中,16例患者追加外科手术,残留和淋巴结阳性合计5例(31.3%,5/16例)。结论非ESD切除结直肠息肉存在已发生HGIN和癌变,且无法判定息肉切除部位和完整性。老年、男性、直肠和乙状结肠息肉,且直径大于1 cm癌变风险机会增加。因而,完善术前评估,选择最佳的切除方式,可提高治愈性切除。蔡雅倩 宋继中 陈竟雄 刘应玲 叶飞 张开光 2023现代消化及介入诊疗2023,28,6:0
返回顶部 每页显示:
共1页 首页 上一页 第1页 下一页 末页 /1 跳转

网站首页 | 关于我们 | 联系我们 | 产品服务 | 客服中心 | 广告服务 | 版权声明 | 网站联盟 | 友情链接 | 售卡网点

版权所有© 渝B2-20050021-1 渝公网安备 50019002500403号 违法和不良信息举报中心

互联网出版许可证 新出网证(渝)字10号 全国400电话 - 免长途话费