polyp
Introduction
Introduction Polyps are extra masses that grow on the surface of human tissues. Modern medicine usually refers to the growth of the sputum on the surface of human mucous membranes. Interest is more than the meaning of surplus, "Said Wen Jie Zi" records "interest, send meat also." "Yellow Emperor Neijing · Jade articles" said "tumor, polyps also." Polyps are a kind of benign tumors. However, those cysts that grow under the skin, lipomas in fat, and fibroids in the muscles can also cause uplift of the body surface, but not in the polyp category. Medically, it is usually named according to the part where it appears. For example, the vocal cords are called "vocal polyps", the "stomach polyps" appear on the stomach wall, and so on. If there is more than two polyps in a certain part, it is also called "multiple polyps".
Cause
Cause
The cause of polyps may be related to inflammatory endocrine disorders, especially estrogen levels. For example, long-term inflammation can easily lead to cervical polyps.
The true cause of modern medicine is still unclear and may be related to the following factors:
Chronic stimulation
Stimulation of rectal mucosa due to changes in dietary habits, special stimuli caused by changes in fecal properties, or stimulation of intestinal diseases such as dysentery, ulcerative colitis, schistosomiasis, ascariasis, and chronic constipation, dry stools, etc. And the onset.
genetic factors
In the embryonic stage, the epithelial cells are susceptible. This property allows epithelial cells to grow rapidly into polyps during growth and development. I don't know if your child's polyps are multiple or single. It is recommended to undergo surgery. If not treated in time, long-term blood in the stool will affect your child's health and lead to anemia. Generally, the disease can be treated by anal resection. The operation can be completed in about 20 minutes. It has no other influence on the child and is safer.
Examine
an examination
Related inspection
Nasal endoscopy laparoscopic
Polyps are a kind of neoplasm that protrudes from the mucosal surface, including proliferative, inflammatory, hamartoma, adenoma and other tumors. The clinical manifestations of polyps are more common with adenomatous polyps and certain gastrointestinal polyps syndrome. Although these lesions are benign, some of them have a malignant tendency.
Follow-up review after polypectomy is generally considered to be a single adenomatous polypectomy, followed up for the first year after surgery. If the test is negative, it will be reviewed every 3 years. Multiple adenoma resection or adenoma greater than 20mm with dysplasia, 3 to 6 months follow-up review, negative for 1 year follow-up review, two consecutive negatives were changed to 3 years follow-up review, follow-up The follow-up review time is not less than 15 years.
Endoscopic (gastroscopy, colonoscopy) polypectomy for polyps is a very effective measure to prevent canceration. At present, the methods for treating polyps under the microscope include: high-frequency electrocoagulation, high-frequency electrocautery, laser treatment, microwave therapy, injection removal, and cryotherapy.
Diagnosis
Differential diagnosis
Number of lesions
Gallbladder polyps, especially cholesterol polyps, are mostly multiple. Gallbladder adenomas are mostly single, and a few are multiple. Although malignant transformation of adenoma has been reported, no reports of multiple adenomas in the same gallbladder have been reported. Therefore, it is considered that the multiple onset becomes a benign possibility, and a single lesion larger than 10 mm should be suspected to be malignant.
Morphology of the lesion
A lot of data show that anatomical adenomas are more common, but there is no clear rule between anatomical or pedicled adenoma and its malignant transformation. It is still necessary to obtain a statistical analysis of large samples to obtain a positive conclusion.
The site of the lesion
Granulosa cell tumors often occur in the neck of the gallbladder. Localized adenomyosis is more common in the gallbladder. Other benign gallbladder lesions can occur in any part of the gallbladder.
In summary, the preoperative imaging findings lack specificity, and the size of the lesion is only the initial criterion for differential diagnosis. For cases with difficult diagnosis of B-ultrasound, EUS or selective gallbladder angiography can be further performed, which is beneficial for differential diagnosis. The final diagnosis still depends on histopathological examination.
In clinical work, it is also differentiated from other lesions in the upper abdomen, including duodenal ulcer, extrahepatic biliary calculi, chronic pancreatitis and hepatitis. Otherwise, symptoms will remain after surgery.
