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25.吳太太於例行性胃內視鏡健康檢查時發現有1公分大小的胃息肉,下列何者需進行息肉切除?
(A)切片病理報告為增生性息肉(hyperplastic polyp)
(B)切片病理報告為腺瘤(adenomatous polyp)
(C)切片病理報告為缺陷瘤(hamartoma)
(D)切片病理報告為異位瘤(heterotopic polyp)

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統計: A(44), B(344), C(26), D(44), E(0) #2184290

詳解 (共 3 筆)

#5708714
Adenomatous poly有癌化的...
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#6263968
【一般外】【解答】 (A) 增生性息肉 ...
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#6306107
根據uptodate好像A其實也可以選
Hyperplastic polyps occur in association with H. pylori-related atrophic gastritis, pernicious anemia, and adjacent to ulcers and erosions. They are generally benign, but have some malignant potential. Hyperplastic polyps >0.5 cm should be resected completely. Surveillance with upper еոԁοѕсорy should be performed based on the ϲaոсer risk due to concurrent chronic atrophic gastritis and other risk factors for gastric ϲaոсеr.
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Most gastric adenomas typically form in atrophic gastric mucosa and may also be seen in association with familial polyposis syndromes. Most gastric adenomas are asymptomatic. Polyps that cause symptoms are most likely to present with gastrointestinal bleeding or rarely obstruction. Since most types of gastric adenomas are a precursor lesion of gastric adenocarcinoma, we recommend resection of all gastric adenomas endoscopically or surgically if necessary (Grade 1A). We perform an upper еոԁοѕсοpу for surveillance one year after initial resection of adenomatous gastric polyps. In individuals at high risk for gastric ϲаոϲеr, surveillance is continued indefinitely.
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