Villous adenomas of the colon, benign or malignant?

Villous adenomas of the colon, benign or malignant?
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结肠绒毛状腺瘤是良性还是恶性?

DOI:
10.1001/archsurg.1969.01340100119016
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发表时间:
1969
影响因子:
--
通讯作者:
W. Davis
W. Davis
中科院分区:
--
文献类型:
--
作者:
R. Olson;W. Davis

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“当一件事不再成为争议的话题时,它就不再是人们感兴趣的话题。” William Hazlitt,1830 关于结肠绒毛状腺瘤的定义、性质、诊断和治疗存在争议。我们分析了我们的经验并回顾了其他人的报告,希望能够回答其中一些问题。我们的研究包括来自内布拉斯加大学医院的 97 名患者和 1,330 名以英语报告的患者。结果,我们接受了一些旧观念,质疑了另一些观念,并引入了新的治疗理念。方法和材料 我们的目的是回顾我们在临床良性绒毛状腺瘤方面的经验。通过病史和体格检查、乙状结肠镜检查、钡剂灌肠和胸部 X 线片研究,我们认为那些没有硬结、溃疡或转移证据的结肠绒毛状腺瘤在临床上是良性的。为了寻找绒毛状腺瘤患者,我们
"When a thing ceases to be a subject of controversy, it ceases to be a subject of interest." William Hazlitt, 1830 Controversy exists over the definition, nature, diagnosis, and treatment of villous adenomas of the colon. We have analyzed our experience and reviewed the reports of others hoping to answer some of these questions. Our study included 97 patients from the University of Nebraska Hospitals and 1,330 patients reported in the English language. As a result, we accept some old ideas, question others, and introduce a new concept of treatment. Method and Material It was our purpose to review our experience with clinically benign villous adenomas. We considered clinically benign those villous adenomas of the colon showing no evidence of induration, ulceration, or metastases by history and physical examination, sigmoidoscopy, barium enema, and x-ray film studies of the chest. In order to find the patients with villous adenomas, we had