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Jagelman等报告,家族性腺癌性息肉病(FAP)患者多数有十二指肠腺瘤性息肉存在,这些病人也是壶腹周围十二指肠癌的高发者,作者主张凡直肠息肉伴十二指肠息肉者,应定期作内镜复查。本文对102例经上消化道内镜筛选的81例(男48例,女33例)进行观察,年龄在20～62岁,平均42岁。十二指肠息肉分为五期,内Ⅰ期17例;Ⅱ期28例;Ⅲ期26例;Ⅳ期9例;Ⅴ期10例。另有10例已患十二指肠癌病例(男7,女3)。电灼治疗的比率与FAP作对照,二者是一致的,如上消化道腺癌与癌同时存在,可说明癌是在Ⅳ期十二指肠息肉病的基础上发生的,因此目前认为:十二指肠癌与Ⅴ期十二指肠息肉有密切的相关性。
Jagelman et al. reported that most of the patients with familial adenocarcinoma polyposis (FAP) have duodenal adenoma polyps. These patients are also high predators of periampullary duodenal cancer. The authors advocate that all patients with rectal polyps with 12 Intestinal polyps should be reviewed regularly for endoscopy. In this article, 102 cases (48 males and 33 females) were selected for endoscopic screening of the upper gastrointestinal tract. The ages ranged from 20 to 62 years and averaged 42 years. Duodenal polyps were divided into five phases, with 17 cases in phase I; 28 cases in stage II; 26 cases in stage III; 9 cases in stage IV; 10 cases in stage V. Another 10 cases have had duodenal cancer (male 7 and female 3). The ratio of fulguration treatment compared with FAP, the two are the same, as the upper digestive tract adenocarcinoma and cancer exist at the same time, can explain the cancer is based on the IV duodenal polyposis occurred, so it is currently believed that: Duodenal cancer is closely related to V duodenal polyps.