在接受监视和诊断结肠镜检查的患者中,小和减小的息肉中,先进的组织学特征的患病率增加
Doris H Toro1, Zeyn T Mirza1, Fernando Báez1
1VA Caribbean Healthcare System, San Juan, Puerto Rico.
Puerto Rico health sciences journal
|June 23, 2023
概括
在西班牙裔患者中,小的息肉 (6-9毫米) 更有可能具有先进的组织学特征,而不是微小的息肉. 在不同的人群中,建议谨慎使用"切除和丢弃"策略.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠癌查 结肠直肠癌查
- 组织病理学 组织病理学
背景情况:
- 在西班牙裔人群中,小或微小的息肉中存在先进的组织学特征 (AH) 的数据有限.
- 了解不同种族群体的息肉特征对于有效的查和管理至关重要.
研究的目的:
- 在西班牙裔群体中调查小小的结直肠多体中AH的流行情况.
- 为了确定这些多重体中与AH相关的因素.
主要方法:
- 对2005-2010年结肠镜记录的回顾性分析.
- 数据包括患者人口统计学,多体大小,位置和组织学.
- 先进的组织学特征 (AH) 被定义为高度发育不良,状元件,腺癌或状特征.
主要成果:
- 较小的息肉 (6-9毫米) 与较小的息肉 (1-5毫米,1.1%) 相比,显著更有可能携带AH (4.9%).
- 小小的息肉比小小的息肉有5倍以上的AH的可能性.
- 远端多体和在诊断/监测结肠镜检查期间发现的多体显示AH的患病率更高.
结论:
- 息肉大小,距离位置和结肠镜检查的适用性与AH相关.
- 虽然微小的息肉不太可能携带AH,但西班牙裔的风险可能比以前报告的更高.
- 对于高达1厘米的息肉",切除和丢弃"策略在种族多样化的人口中需要谨慎.
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