中国实用外科杂志2016，Vol.36Issue(1)：115-118,4.DOI:10.7504/CJPS.ISSN1005-2208.2016.01.30
内镜切除结直肠黏膜下肿瘤临床病理学特征分析(附559例报告)
Clinicpathological analysis of colorectal submucosal tumors:A report of 559 cases resected under endoscopic
摘要
Abstract
Objective To analyze the tumors location and pathological characteristics of colorectal submucosal tumors (SMTs). Methods Clinicopathological data of 559 colorectal SMTs in our department from January 2008 to December 2014 were retrospectively analyzed. Results In colonic SMTs, 148 cases lipomas (84.09%) are the most common tumors, followed by 9 cases granular cell tumors (GCTs) (5.11%), 7 cases leiomyomas(3.98%), 7 cases neuroendocrine tumors (NETs) (3.98%). 1 case gastrointestinal stromal tumors (GISTs) (1.83%) and 4 cases other tumors(2.27%). In those cases, lipomas and GCTs were common located in the right hemicolon. Leiomyomas and NETs were common located in the left hemicolon. In rectal cases, 349 cases NETs (91.12%) are the most common tumors, followed by 13 cases lipomas(3.39%), 11 cases leiomyomas(2.97%), 7 cases GISTs(1.83%), 1 case GCTs(0.26%) and 2 cases other tumors(0.52%). In those cases, NETs were common located in the lower rectum. Lipomas and leiomyomas were common located in the upper and lower rectum. GISTs were common located in all parts of rectum. Conclusion The colonic SMTs usually were benign lesions, so they could be intervened delayed, and be arranged for routine following-up. However, the rectal SMTs usually had malignant tendency, the active treatment and enforced follow-up were the key to improve the prognosis of the rectal SMTs.关键词
结直肠/黏膜下肿瘤/临床病理学特征Key words
colorectal/submucosal tumors/pathological characteristics分类
医药卫生引用本文复制引用
齐志鹏,钟芸诗,周平红,徐美东,时强,蔡世伦,武逸人,姚礼庆..内镜切除结直肠黏膜下肿瘤临床病理学特征分析(附559例报告)[J].中国实用外科杂志,2016,36(1):115-118,4.基金项目
上海市卫生和计划生育委员会立项课题(No.20144Y0195) （No.20144Y0195）
上海市自然基金(No.15ZR1406800) （No.15ZR1406800）
上海市科委产学研医合作项目(No.13DZ1940402) （No.13DZ1940402）
博士点基金立项课题(No.博导类)(20120071110061) （No.博导类）
癌变与侵袭原理教育部重点实验室开放课题基金资助(KLCCI2014-6) （KLCCI2014-6）
