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作者从1970年9月至1980年5月诊断了35例家族性结肠息肉病。对其中24例作了纤维十二指肠镜检和活检,详细地检查了十二指肠乳头区域。24例中12例经内窥镜活检证实有十二指肠乳头腺瘤,其中10例十二指肠乳头在内窥镜下发白、伴有结节或表面有颗粒状改变,2例内窥镜下乳头基本正常,而由活检组织学证实。24例中6例在作了此检查后3年内,由于结肠癌复发或转移而死亡,其中3例尸检证实十二指肠乳头腺瘤,另3例尸检及十二指肠乳头切片未见腺瘤。
The authors diagnosed 35 cases of familial colon polyposis from September 1970 to May 1980. Microscopic duodenal microscopy and biopsy were performed in 24 of them, and the duodenal papilla area was examined in detail. Twenty-four of the 24 cases had confirmed duodenal papilloma adenoma by endoscopic biopsy. Among them, 10 cases of duodenal papilla were endoscopically white with nodular or granular changes on the surface. Under the speculum, the nipple was normal and confirmed by biopsy. 6 out of 24 cases died within 3 years after the examination was performed due to recurrence or metastasis of colon cancer. Among them, 3 cases had duodenal papillomas confirmed on autopsy, and 3 cases had no glands on autopsy and duodenal papilla sections. tumor.