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结直肠管状绒毛状腺瘤

结直肠管状绒毛状腺瘤

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结直肠管状绒毛状腺瘤介绍
  • 大肠黏膜上皮细胞增生的真性肿瘤性疾病
  • 常表现为便血、便秘、腹部不适、腹部疼痛
  • 治疗上以手术为主切除肿瘤

简介

结直肠管状绒毛状腺瘤,是指由腺管和绒毛两种结构组成的腺瘤。该病的发病与环境毒素和遗传倾向有关。临床表现包括粪便带血,若息肉大且位置低,常有里急后重,甚至排便不畅,腺瘤脱出肛门,较大的肿瘤可以导致肠梗阻和肠套叠,从而引起腹痛、便秘等症状。治疗上以手术切除肿瘤为主,根据肿瘤的大小、部位、数目、活动度、有无癌变等情况制订手术方案,首选内镜下电凝切除,结直肠管状绒毛状腺瘤切除后预后良好,但是有50%的患者可在切除后复发,且随着时间推移复发率逐步升高,因此在结直肠管状绒毛状腺瘤切除后,应定期随访。

症状表现

典型症状是便血、便秘、腹部不适、腹部疼痛、腹泻或腹泻便秘交替。

诊断依据

依据典型的便血、便秘、腹部不适、腹部疼痛、腹泻或腹泻便秘交替表现,结合直肠指检、直肠镜检查并取病理活检;直肠指检和直肠镜检查表现为摸到或看到直肠腺瘤,病理活检表现为低级别上皮内瘤病变,可明确诊断。

结直肠管状绒毛状腺瘤有哪些类型?

根据病理组织,该病可分为:

  • 结直肠管状绒毛状腺瘤;
  • 结直肠管状腺管腺瘤。

是否具有传染性?

是否常见?

本病较常见,目前尚无明确的流行病学资料,没有明确的患病率。发病人群多为具有结直肠管状绒毛状家族史的人群,年龄段多为40岁以上的中老年人群,好发部位在结肠、直肠。

是否可以治愈?

可以治愈,但该病预后不佳,尽管通过手术等治疗后可以痊愈,仍有50%的患者可在切除后复发,且随着时间推移复发率逐步升高。

是否遗传?

有一定的遗传性。

是否医保范围?

结直肠管状绒毛状腺瘤相关问诊记录

我有结肠肿瘤正在出血,想知道如何安全地补血?患者女性

就诊科室:

总交流次数:17

对于结肠肿瘤出血的患者,补血是非常重要的。可以通过食物来增加铁的摄入,例如红肉、绿叶蔬菜、豆类等。同时,维生素C也能帮助身体更好地吸收铁。在选择任何补血方法之前,一定要咨询医生。关于这个补血药,虽然可能会引起便秘和黑便,但这并不意味着所有人都会出现这些副作用。务必在医生的指导下进行,并且密切关注自己的身体反应。同时,也要注意保持良好的饮食习惯和生活方式,以帮助预防便秘。

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53岁女性,结肠肿瘤手术后正在服用卡培他滨,发现肺结节,想了解是否可以使用某种药物?患者女性

就诊科室:药剂科

总交流次数:22

对于结肠肿瘤肺结节的患者,使用卡培他滨是合理的。同时,建议在用药期间注意饮食、运动和生活习惯,保持良好的心态和充足的睡眠。如果出现任何不适,应及时就诊。

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81岁老人两年前做了结肠腺癌手术,最近复发转移,正在服用化疗药物,想了解营养治疗方案。患者女性

就诊科室:营养科

总交流次数:19

针对结肠腺癌复发转移的老年患者,除了手术、放疗、化疗和靶向治疗等综合治疗外,营养治疗也非常重要。我们推荐的营养品专门为老年人设计,含有多种维生素和矿物质,可以帮助患者补充营养,增强体力。每日半瓶起,根据病情实时调整用量。同时,保持良好的饮食习惯和生活方式,避免过度劳累,定期复查。

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