| Autor: |
Nicholas Conger, Peter J. Kobes, Kevin O'Brien, Brian F. Sweeney, Kevin A. Lang |
| Rok vydání: |
2000 |
| Předmět: |
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| Zdroj: |
Gastrointestinal Endoscopy. 51:AB232 |
| ISSN: |
0016-5107 |
| DOI: |
10.1016/s0016-5107(00)14638-3 |
| Popis: |
Adenomatous Polyps(AP)are a frequent finding on colorectal cancer screening examinations. The presence of villous histology or high grade dysplasia on pathologic examination of an AP indicates a more advanced lesion. The goal of this study was to determine (1)the prevalence of villous histology or high grade dysplasia in AP removed during screening colonoscopies performed after a hemoccult positive stool or an abnormal flexible sigmoidoscopy and to (2)subcategorize the data based on the size of the AP. Methods:Colonoscopy and pathology reports were retrospectively reviewed on 1203 polyps removed during 665 colonoscopies.Polyps were divided by size into 3 categories:(1)1-5mm,(2)6-10mm, and (3)>10mm, and path reports were used to determine the prevalence of villous histology or high grade dysplasia.Results:The results are summarized in Table 1 Conclusions:There was an overall 11.6% prevalence of villous histology or high grade dysplasia in AP removed during colonoscopy. Diminuitive AP of less then 6mm had a 4.0% prevalence while AP 6-10mm in size were three times as likely(12.8%) and AP >10mm were eleven times as likely(44.8%) to have villous histology or high grade dysplasia. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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Full Text from ScienceDirect