0000000000540989
AUTHOR
M Amuso
Risk of villous histology or high grade dysplasia in patients with diminutive polyps: influence of number of polyps
INTRODUCTION/OBJECTIVES: Current recommendations on post-polypectomy surveillance recommend shorter intervals in case of 3 or more polyps, irrespectively of histological findings (see reference below). These recommendations doesn't differentiate between diminutive (1-5 mm) polyps and polyps of larger size (>5 mm). AIMS & METHODS: Aim of the present study was to assess, in a group of patients with "isolated" diminutive polyps, i.e. without associated polyps of larger size, if the presence of 3 or more diminutive polyps is associated with higher number of polyps with villous histology (VH) or high grade dysplasia (HGD). Retrospective examination of endoscopical records and of histopathologica…
Clinical Significance Of Isolated Diminutive Colonic Polyps
INTRODUCTION/OBJECTIVES: Several reports have assessed clinical significance of diminutive (1-5 mm) polyps; here we report on the prevalence of advanced histology in patient with "isolated" diminutive polyps, i.e. without associated polyps of larger size. AIMS & METHODS: Retrospective examination of endoscopy records and of histopathology records of patients with polyps of any size. Advanced histology was defined as the presence of high grade dysplasia (HGD) or in situ carcinoma. Polyps were categorized into three groups: diminutive (1-5 mm); small (6-10 mm) and large (11 mm or more). Diminutive Small Large Advanced Carcinoma Number 315 89 67 84 Male (%) 205 (62) 57 (64) 46 (68) 52 (62) Mea…