Sessile serrated polyps: detection, eradication, and prevention of the evil twin.
Sessile serrated polyps: detection, eradication, and prevention of the evil twin.
复制标题
无链锯齿状的息肉：对邪恶双胞胎的检测，消除和预防。
DOI：
10.1007/s11938-015-0046-y
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发表时间：
2015-03
期刊：
影响因子：
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通讯作者：
Ahnen, Dennis J
中科院分区：
文献类型：
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作者：
Obuch, Joshua C;Pigott, Courtney M;Ahnen, Dennis J
无蒂锯齿状息肉（SSP），也称为无蒂锯齿状腺瘤，是结直肠癌前兆中的邪恶双胞胎。正如将要描述的，这些病变有多种别名（锯齿状腺瘤、锯齿状息肉或锯齿状病变等），它们出没在一个糟糕的社区（准备不足的右结肠），它们隐藏在粘液面具后面，目击者（病理学家）很难识别它们，警察（内窥镜医师）很难发现它们，它们很难从社会中永久移除（不完全切除率很高），它们可能是冲动的（进展迅速） CRC）和执法者（胃肠病学家）不知道如何最好地控制它们（不确定的监测建议）。毫无疑问，我们需要充分了解这些病变，了解如何最好地防止结肠粘膜走上这条错误的道路，或者如果失败了，就需要检测这些异常现象并将其从结肠社会中根除。这些病变应该是内窥镜医师最想要的名单上的。
The sessile serrated polyp (SSP), also known as sessile serrated adenoma, is the evil twin among the colorectal cancer precursors. As will be described, these lesions have multiple aliases (serrated adenoma, serrated polyp or serrated lesion among others), they hang out in a bad neighborhood (the poorly prepped right colon), they hide behind a mask of mucus, they are difficult for witnesses (pathologists) to identify, they are difficult for police (endoscopists) to find, they are difficult to permanently remove from society (high incomplete resection rate), they can be impulsive (progress rapidly to CRC) and enforcers (gastroenterologists) don’t know how best to control them (uncertain surveillance recommendations). There is no wonder that there is a need to understand these lesions well, learn how best to prevent the colonic mucosa from going down this errant path or, if that fails, to detect these deviants and eradicate them from colonic society. These lesions should be on the endoscopists’ most wanted list.