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食管乳头状瘤的临床,内镜及病理学探讨
引用本文:朱萱,黄松.食管乳头状瘤的临床,内镜及病理学探讨[J].中华消化内镜杂志,1997,14(5):284-286.
作者姓名:朱萱  黄松
作者单位:江西医学院第一附院
摘    要:为探讨食管乳头状瘤(EP)的临床与病理特点以及病因及发病机制,回顾性总结和分析了27例EP的临床和病理资料。结果发现:1.EP临床表现无特异性;2.内镜见病变主要位于食管中下段(25例),且与食管炎有关,内镜易误诊为食管息肉;3.治疗后6例随访1月正常,其中4例随访2年未见复发;4.并发其它部位恶性肿瘤(4例);5.病理学无恶变证据,但2例有轻度不典型增生。认为1.EP是否属癌前病变值得进一步研究;2.加强对EP病人邻近脏器的检查和随访十分必要;3.粘膜的慢性炎症刺激等在EP发病中起一定作用。

关 键 词:食管乳头状瘤  病理学

EVALUATION OF CLINICO PATHOLOGIC AND ENDOSCOPIC FEATURE OF ESOPHAGEAL PAPILLOMAS
Zhu Xuan,Huang song,Han Bin,et al..EVALUATION OF CLINICO PATHOLOGIC AND ENDOSCOPIC FEATURE OF ESOPHAGEAL PAPILLOMAS[J].Chinese Journal of Digestive Endoscopy,1997,14(5):284-286.
Authors:Zhu Xuan  Huang song  Han Bin  
Institution:Zhu Xuan,Huang song,Han Bin,et al.First affilliated hospital of Jiangxi Medical college,Nanchang 330006
Abstract:A retrospective study of esophaged papilloma(EP) on the clinicopathological and endoscopic features in 27 cases is presented.Results showed that(1)No specific clinical feature and pathological evidence showing malignant change was found;(2)The lesions mostly located at the middle or distal esophagus;(3)No recurrence was detected in follow ups;(4)Synchronous or metachronous carcinoma in other site may occur.It is asserted that (1)whether EP is a precancerous lesion remains unknown;(2)patient with EP is indicated to seek for nearby cancer;(3)mucosal injury and regeneration may play a role.
Keywords:Esophageal  papillomas    Pathology
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