Villous Papilloma of the Rectum and Colon: Selective Therapy and a Surgicopathologic Classification of 165 Cases

Villous Papilloma of the Rectum and Colon: Selective Therapy and a Surgicopathologic Classification of 165 Cases
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直肠和结肠绒毛状乳头状瘤:165例的选择性治疗和外科病理学分类

DOI:
10.1001/archsurg.1965.01320140152026
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发表时间:
1965
影响因子:
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通讯作者:
S. Schapiro
S. Schapiro
中科院分区:
--
文献类型:
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作者:
S. Schapiro

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本文将介绍一种选择性治疗直肠和结肠绒毛状乳头状瘤的手术方法。这些肿瘤的临床行为和发病机制已得到充分证实,只需就不同类型的治疗选择达成一致即可。为了实现这一点,病理学家和外科医生之间应该就这些生长的微观病理学分类达成一致,从而建立适当的治疗方法。1回顾了165例绒毛乳头状瘤的病理学,并受到Swinton,1 Dukes,2 Morson,3 Bacon,4 Turnbull,5 Scarborough,6 Wheat和阿克曼,7 Hines,8等文献中的精彩报道的启发,16- 20 I决定根据显微解剖位置和病理变化的程度使用区域和分级分类。这种病理学分类将构成
A SYSTEMATIC approach for the selective treatment of the villous papillomas of the rectum and colon will be offered in this presentation. The clinical behavior and the pathogenesis of these tumors is well established and it remains only to agree upon the treatment of choice for the different types. To bring this about there should be agreement between the pathologist and the surgeon upon a classification of the micropathology of these growths from which a proper therapeutic approach can be established.1After reviewing the pathology of 165 cases of villous papillomata and prompted by the magnificent reports in the literature by Swinton,1Dukes,2Morson,3Bacon,4Turnbull,5Scarborough,6Wheat and Ackerman,7Hines,8and others,16-20I decided to use a regional and graded classification depending upon the microscopic anatomic location and the degree of pathologic changes. This surgicopathologic classification will constitute the