绒毛状腺瘤

直肠绒毛状腺瘤癌变的外科治疗

Surgical treatment of rectal villous adenoma with canceration

目的评价经肛门内镜显微手术（TEM）切除直肠绒毛状腺瘤和早期直肠癌的应用效果。

Objective To assess the clinical effects of transanal endoscopic microsurgery ( TEM ) in the surgical treatment of rectal villous adenoma and early rectal carcinoma .

目的研究结肠绒毛状腺瘤X表现的特点。

Objective To study radiologic features of villous tumors of the colon .

p53、p21~（WAF）在结直肠癌中阳性表达率分别为47.9%、93.8%，高于结直肠管状腺瘤及绒毛状腺瘤组、结直肠癌手术切缘组。

Expression of p53 in Colorectal carcinoma was 47.9 % , that of p21 ~ ( WAF ) was 93.8 % .

绒毛状腺瘤、混合性腺瘤、管状腺瘤癌变率为29.73%，11.11%，4.86%；息肉直径≤0.5cm，未发现癌变；

The canceration rates in villous , mixed and tubular adenomas were 29.73 % , 11.11 % , and 4.86 % .

左半结肠息肉、直径≥2.0cm息肉、绒毛状腺瘤容易癌变；

There is a high canceration of polyps in the left colon , villous adenomas and ≥ 2.0 cm polyps .

结果Brunner瘤3例，平滑肌瘤3例，间质瘤3例，管状腺瘤2例，管状绒毛状腺瘤1例，胃泌素瘤1例，血管瘤1例，错构瘤1例。

Of the 15 patients , 3 were Brunner 's gland adenoma , 3 leiomyoma , 3 mesenchymoma , 2 tubular adenoma , 1 tubulovillous adenoma , 1 gastrinoma , 1 hemangioma and 1 hamartoma .

结肠绒毛状腺瘤影像诊断的价值

The Value Imaging Diagnosis of Villous Tumor of the Colon

28例低位直肠绒毛状腺瘤癌变局部切除治疗经验

Local Excision of Low Rectal Villous Adenoma with Malignant Change

直肠绒毛状腺瘤经肛门手术25例临床研究

Clinical studies on 25 cases of anal operative treatment of rectal villous adenoma

结论X线表现反映了结肠绒毛状腺瘤的病理特点。

Conclusion The X ray features mirrors pathologic observation .

结果25例（35.7%）直肠绒毛状腺瘤已发生癌变。

Results Canceration was found in25of70patients with villous adenomas ( 35.7 % ) .

病理示直肠绒毛状腺瘤14例、直肠腺癌13例，后者包括pTis2例，pT16例和pT25例。

Pathological results revealed 14 cases with rectal villous adenoma and 13 with rectal adenocarcinoma .

结肠绒毛状腺瘤X线表现超声诊断胎盘绒毛膜血管瘤

The X-ray features of villous tumors of the colon Ultrasound diagnosis of chorioangioma of chorion

直肠管状绒毛状腺瘤癌变11例；

11 canceration of tubulo-villous adenoma ;

其中直肠癌13例，直肠绒毛状腺瘤12例，其他良性疾病5例。

These included rectal carcinoma 13 , villous adenoma 12 and other benign lesions 5 cases .

阴道管状绒毛状腺瘤

Tubulo-villous adenoma of the vagina

经肛门内镜显微手术治疗直肠绒毛状腺瘤和早期直肠癌31例

Treatment of rectal villous adenoma and early rectal carcinoma by transanal endoscopic microsurgery : Report of 31 cases

绒毛状腺瘤、混合腺瘤癌变率较高（分别为56.76%、14.71%），管状腺瘤癌变率较低（为4.17%）。

The canceration rates in villous , mixed and tubular adenomas were 56.76 % , 14.71 % and 4.17 % , respectively .

结果：手术均获得成功，最终病理诊断为16例绒毛状腺瘤，4例管状腺瘤，1例神经鞘瘤；

The results of the final pathological diagnosis were as follows : 16 patients suffered villous adenoma , 4 had canalicular adenoma and 1 had myoschwannoma .

结果：①管状腺瘤、混合性腺瘤、绒毛状腺瘤的非典型增生程度和癌变分布差异有统计学意义（p<0.05）。

Results :① The degree of atypia hyperplasia and canceration among tubular adenoma , tubulo-villous adenoma and villous adenoma were statistically different ( p < 0.05 ) .

3例绒毛状腺瘤局部复发，2例再行局部微波或氩气刀治疗，1例建议外科手术治疗；

Cases with villomas recurred in local focus , in which 2 cases were treated by microwave or argon plasma coagulation and 1 was advised to surgical therapy .

19例手术及术后病理证实的淋巴结转移者3例（15.7%），包括1例绒毛状腺瘤恶变的早期浸润癌和2例浸润癌。

Of the 19 patients who underwent segmental colectomy , three ( 15 7 % ) had lymph node metastasis , include 1 villous adenoma containing early invasive carcinoma .

结果全组直肠绒毛状腺瘤61例，其中伴癌变者26例；直肠癌25例；

Results There were 61 cases with villous adenoma including 26 with cancerization , 25 cases with rectal cancer including 16 cases with early rectal cancer , and 17 with submucosal tumor .

广基息肉癌变率10.08%。结论：左半结肠息肉、宽基息肉、直径>2.0cm息肉、绒毛状腺瘤容易癌变。

Conclusion : There is a high canceration of polyps in left colon and villous adenomas . The broader the pedicles and the larger the diameters of polyps are , the higher the malignant rates could be .

1994年9月至1996年7月共施行此类手术9例，其中直肠癌4例，直肠绒毛状腺瘤3例，直肠平滑肌肉瘤1例，直肠狭窄1例。

From sept 1994 to July 1996 transsacral resections were performed in 9 cases with mid and low rectal le-sions , which included 4 rectal cancer , 3 rectal villous adenoma , 1 rectal leiomyosarcoma and 1 be-nign rectal stenosis .

结果本组病例息肉样腺瘤9例，间质瘤5例，管状腺瘤5例，管状绒毛状腺瘤2例，异位胰腺、胰岛细胞瘤、神经鞘瘤、胃泌素瘤、血管瘤各1例。

Of the 26 patients , there were 9 cases of Brunner 's gland adenoma , 5 leiomyoma , 5 tubular adenoma , 2 tubulovillous adenoma , 1 gastrinoma , 1 hemangioma , 1 neurilemmoma , 1 ectopic pancreas , 1 islet cell tumor .