大肠息肉癌变的粘膜下浸润癌的长期随访观察  

Long time follow-up of submucosal infiltrate carcinoma in malignant changed polyps of large intestine.

作　　者：傅仁祥[1] 汪建平[1] 董文广[1] 王吉甫[1] 

机构地区：[1]中山医科大学附属第一医院胃肠外科,510080

出　　处：《中国实用外科杂志》1994年第4期217-218,共2页Chinese Journal of Practical Surgery

摘　　要：本文对1984～1988年检出的15例来源于大肠息肉癌变的粘膜下浸润癌(SM癌)进行了5年以上的远期随访观察。15例中,8例行根洽性切除手术,7例在纤维内镜下行息肉切除。随访结果表明:在纤维内镜下切除的7例SM癌,经5年以上的定期随访,无复发。手术切除8例,其中1例死于双肺广泛转移性腺癌,1例局部种植。结果提示:粘膜下浸润癌并非是追加外科手术的绝对指征。15 cases with submucosal infiltrate carcinoma originated from malignant changed polyps of large intestine were followed up for more than 15 years. 8 cases recieved radical resection, among which 1 case died of multiple pulmonary metastatic adenocarcinomas, 1 case has local implantation. 7 case recieved fibercoloscopic removing of polyps without recurrence or malignant changing. The results of follow-up show that submucosal infiltrate carcinoma of large intestine is not absolute indication of an additional operation.

关 键 词：大肠 息肉 粘膜内癌 浸润癌 

分 类 号：R735.34[医药卫生—肿瘤]