■大多数胃肠道息肉无症状;因此,评估与癌症和癌前息肉相关的症状至关重要.
■这项研究的目的是研究组织病理学,number,分布,和年龄方面的息肉发育不良的程度,性别,和临床表现。
■这项研究是对2015年7月至2021年8月在苏莱曼尼亚接受内窥镜检查的患者进行的,伊拉克。对患者的手术病理记录进行年龄分析,性别,息肉的性质,number,site,组织病理学,发育不良的程度,切除边缘和患者提供的临床数据。
■患者的平均年龄为51.4±17.1岁,大多数是男性(51.9%)。最常见的内窥镜检查适应症是筛查(28.62%),最不常见的是体重减轻(4.46%)。肿瘤性息肉在呕血患者中很常见(75%),而非肿瘤性在消化不良患者中很常见(60%)。大多数息肉在上消化道(80.8%)和下胃肠道(GIT)中单发。GIT上部的大多数息肉是非肿瘤性(87.3%),而最下部的近端/远端GIT息肉是肿瘤性。大多数肿瘤性息肉表现为低度发育不良(94.4%),大多数高度发育不良为绒毛型(24.1%)。
■强烈建议启动筛查计划,作为早期发现多发性和高级别胃肠道息肉的便利方法。因此,筛查程序可以降低该地区癌症的死亡率。
UNASSIGNED: Most gastrointestinal
polyps are asymptomatic; therefore, assessing symptoms associated with cancer and precancerous
polyps is essential.
UNASSIGNED: The aim of this study was to study the histopathology, number, distribution, and degree of polyps\' dysplasia in terms of age, gender, and clinical presentation.
UNASSIGNED: This study was performed on patients who underwent endoscopy from July 2015 to August 2021 in Sulaimaniyah, Iraq. Surgical pathology records of patients were analyzed for age, sex, nature of the
polyps, number, site, histopathology, degree of dysplasia, resection margins and patients\' presented clinical data.
UNASSIGNED: The mean patients\' age was 51.4 ± 17.1 years, and most were males (51.9%). The most common indications for endoscopy were screening (28.62%), and the least common was weight loss (4.46%). Neoplastic polyps were common among patients with hematemesis (75%), while non-neoplastic were common among those with dyspepsia (60%). Most
polyps were solitary in upper (80.8%) and lower gastrointestinal tract (GIT). Most
polyps in the upper GIT were non-neoplastic (87.3%), while most lower proximal/distal GIT
polyps were neoplastic. Most neoplastic polyps showed low-grade dysplasia (94.4%), and most high-grade dysplasia was a villous type (24.1%).
UNASSIGNED: Initiation of the screening program is highly recommended as a facilitating method for the early detection of multiple and high-grade gastrointestinal polyps. Thus, screening programs can reduce the rate of mortality of carcinoma in this locality.