AN APPRAISAL OF SMALL AND DIMINUTIVE COLONIC POLYPS

被引:6
作者
COSGROVE, JM
WOLFF, WI
TENENBAUM, N
MARGOLIS, IB
机构
[1] The Long Island Jewish Medical Center, New Hyde Park, New York
[2] Beth Israel Medical Center, New York, New York
来源
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1991年 / 5卷 / 03期
关键词
COLONOSCOPY; POLYPS; CARCINOMATOUS; DIMINUTIVE POLYPECTOMY;
D O I
10.1007/BF02653222
中图分类号
R61 [外科手术学];
学科分类号
摘要
A retrospective review of all colonoscopic polypectomies performed in a busy surgical endoscopy unit over a 6-month period was undertaken. All patients were included who presented with colonic polyps measuring less than 1 cm in diameter for which sufficient specimens were available for histopathologic examination. In all, 262 were polyps removed from 206 patients; of these, 158 (60%) were neoplastic. There was a statistically significant predilection for polyps in the right colon to be neoplastic. Worrisome histologic patterns (severe dysplasia, carcinoma in situ, or invasive carcinoma) were seen in 18 specimens (6.5%). In two patients, polypoid carcinoma could be identified; in one case it involved a lesion measuring 0.2 cm in diameter. Since these lesions exhibit no distinctive gross features, only their endoscopic removal and histologic study can ensure proper diagnosis and treatment.
引用
收藏
页码:143 / 145
页数:3
相关论文
共 24 条
[1]  
Achkar E., Carey W., Small polyps found during fiberoptic sigmoidoscopy in asymptomatic patients, Ann Intern Med, 109, pp. 880-883, (1988)
[2]  
Boring C.C., Squires T.S., Tong T., Cancer statistics, 1991. CA, 41, pp. 19-36, (1991)
[3]  
Buie L.A., Brust J.C., Solitary adenomata of the rectum and lower sigmoid, Trans Am Proctol Soc, 36, pp. 57-67, (1935)
[4]  
Castleman B., Krickstein H., Do adenomatous polyps of the colon become malignant?, N Engl J Med, 267, pp. 469-475, (1962)
[5]  
Church J.M., Fazio V.W., Jones I.T., Small colorectal polyps, Dis Colon Rectum, 31, pp. 50-53, (1988)
[6]  
Edgar A., William C., Small polyps found during fiberoptic sigmoidoscopy in asymptomatic patients, Ann Intern Med, 109, pp. 880-883, (1988)
[7]  
Feczko P.J., Bernstein M.A., Halpert R.D., Ackerman L., Small colonic polyps: a reappraisal of their significance, Radiology, 152, pp. 301-303, (1984)
[8]  
Fenoglio C.M., Lane N., The anatomic precursor of colorectal cancer, Cancer, 34, pp. 819-823, (1974)
[9]  
Granqvist S., Gabrielsson P., Sundelin P., Diminutive colonic polyps clinical significance and management, Endoscopy, 11, pp. 36-42, (1979)
[10]  
Knoernschild H., Growth rate and malignant potential of colonic polyps: early results, Surg Forum, 14, pp. 137-138, (1963)