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>胃癌</a>嗎？胃息肉是胃粘膜局限性增生而形成的隆起，它是否會癌變呢？這一般要根據(jù)息肉的類型，特別是病理檢查的分類來判斷，再生性息肉通常不惡變，而腫瘤性息肉（即腺瘤、管狀瘤）則有癌變的可能。再生性息肉無癌變傾向。腺瘤性息肉有癌變傾向，特別是直徑超過2厘米的息肉易發(fā)生癌變，如果直徑為5厘米以上則肯定為癌。</p><p>　　胃息肉分類標(biāo)準(zhǔn)很多，有的按形狀或表現(xiàn)分類，最有實際意義的是按病理分型，通常分三類：</p><p>　　胃良性上皮性腫瘤。①再生性息肉：體積較小，直徑小于1厘米，常為多發(fā)。多發(fā)的再生性息肉常集中于胃體及胃竇交界處。再生性息肉無癌變傾向。②腫瘤性息肉（又名腺瘤或腺瘤樣息肉）：多數(shù)為單發(fā)。腺瘤性息肉有癌變傾向，特別是直徑超過2厘米的息肉易發(fā)生癌變，如果直徑為5厘米以上則肯定為癌。</p><p>　　嗜酸細(xì)胞肉芽腫息肉。此類息肉較少見，好發(fā)于胃竇部，很少超過2厘米。表面被以胃粘膜，中央可有潰瘍形成，是一種良性病變，多認(rèn)為是炎癥性質(zhì)，少數(shù)認(rèn)為是神經(jīng)源性腫瘤，癌變的可能性較小。</p><p>　　其它類型息肉。①幼年性息肉，多見于兒童和青少年。②息肉病，少數(shù)可以惡變。③黑斑息肉綜合征，這種胃息肉伴皮膚粘膜黑色素沉著綜合征，是遺傳病，有家族史。多見于兒童及青少年。特點是唇及口腔粘膜有過多的黑色素沉著。息肉多發(fā)生于小腸，特別是空腸，其次為胃及大腸。此型息肉易發(fā)生癌變，并易轉(zhuǎn)移至淋巴結(jié)。</p><p>　　胃鏡檢查對胃息肉的診斷最有意義，不僅可見息肉形態(tài)，而且可取活組織送病理行組織學(xué)診斷，也有利于與胃癌做鑒別診斷。</p><p>　　由于過去對胃息肉監(jiān)測手段不夠，其臨床表現(xiàn)又不典型，往往不能早期發(fā)現(xiàn)，致使不少病例發(fā)現(xiàn)癌變時已失去治療機(jī)會。胃息肉易發(fā)生于中老年人群中，多伴有萎縮性<a href="http://thedailypurge.net/jibing/weiyan/" target="_blank" title="胃炎" class="hotLink" >胃炎</a>等，對這些病人應(yīng)加強(qiáng)定期隨訪。</p><p>　　內(nèi)窺鏡治療胃息肉已廣泛開展，采取胃鏡電切胃息肉是有效的手段，但要注意出血和穿孔的發(fā)生。</p> </div> </div>  <div style="margin-bottom:10px;"> <p align="center"> <img src="/upload/resources/image/2024/11/05/820258.jpg" alt="醫(yī)師資格考試公眾號" border="0"> </p> </div>    <div id="3nz55tz" class="share new-share clearfix"> <div id="pdvtpjp" class="info-share-new fl"> <div id="ptjztzn" class="snltxt fl">分享到：</div> <div id="zrrt93t" class="fl" id="share-2020" data-sites="wechat, qzone, weibo, qq"></div> </div> <div id="r1jdvj1" class="jc fr"></div> </div>  <div id="p1h1b3z" class="xgzx clearfix"> <div id="pv9pd9d" class="consult clearfix"> <div id="lxvbnxb" class="tit"><div id="hh1zdtn" class="t1 fl">相關(guān)資訊</div></div> <ul> <li>· <a href="/qitazhuanye/qi2002274205.shtml" target="_blank" title="胃癌病因及發(fā)病機(jī)理">胃癌病因及發(fā)病機(jī)理</a></li> <li>· <a href="/waikexue/qi2002264817.shtml" target="_blank" title="上消化道出血的病因很多常見是哪些">上消化道出血的病因很多常見是哪些</a></li> <li>· <a 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