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At least 109 records · Page 6Linked to original sources

Pre-elastofibroma-like colonic polyp: another cause of colonic polyp.

We present a case of pre-elastofibroma-like lesion, a kind of elastic-producing fibrous tumor. The small colonic polyp, which was found in a 49-year-old asymptomatic man in association with a large colonic adenoma, showed submucosal nodular deposits of fine granular or fibrillar eosinophilic materials with interspersed fibroblastic cells. Elastic stain revealed these deposits to consist mainly of dark gray granular or partially fibrillar dense elastinophilic materials, most of which were digested with elastase. This stromal lesion somewhat resembled a pre-elastofibroma. Therefore, pre-elastofibroma-like lesions should be kept in mind as a possible origin of colonic polyp.

Colonic Polyps↗

[Fibro-inflammatory polyp with eosinophilic infiltration. Apropos of 3 cases of gastric polyps].

We report three cases of inflammatory fibroid polyp of the stomach (Helwig's pseudo-tumour) and record 127 patients in the literature. The anatomo-clinical features of such a disease are analysed and the larger outline of eosinophilic infiltrations of the gastro intestinal tract are described. Most of the authors class the gastric nodular eosinophilic granuloma as the Helwig's pseudo-tumour, but they are not so unanimous for the exact relationship between inflammatory fibroid polyp and the eosinophilic gastroenteritis. For Helwig, they are two distinct conditions, but for others, they belong to the same anatomo-clinical entity, with a broad diversity of morphological features.

Aged↗

Further refinements of the polyp snare for interuterine surgery--a new modality for treatment of myomas and polyps.

Hysteroscopic treatment of 30 patients suffering from menorrhagia or post-partum complications was accomplished using an electrosurgical polyp snare. Using this method, 18 polyps and 12 myomas were successfully removed in less than twenty minutes without complications. Local anaesthesia was used in 12 patients. Three patients have presented with recurrence of menorrhagia, with a minimum of six months follow-up. Benefits of this technique compared to uterine resectoscopy include shorter operative time, decreased risk of fluid overload, and less risk of uterine perforation. The snare is difficult to use and a learning curve exists. Higher currents than that used for resection are required.

Electrosurgery↗

[Polyps and polyposis--limits of endoscopic therapy. Are we currently overtreating by removing colorectal polyps?].

Today, endoscopic polypectomy is the standard procedure for the diagnosis and treatment of neoplastic polyps of the colon. There is no longer any doubt that the adenoma-(dysplasia)-carcinoma sequence actually holds true. Size, configuration and histology identify the risk for colorectal carcinoma, and endoscopic treatment can be considered a carcinoma-preventive measure. Even in the case of invasive carcinoma developing in a tubular adenoma, endoscopic polypectomy with a margin of 2 to 3 mm is believed to suffice unless the carcinoma involved is undifferentiated and has invaded blood vessels. In the case of polyposis coli, endoscopic polypectomy serves to establish an accurate classification of the polyposis, however, mass polypectomy must be rejected. In adenomatosis coli colectomy with pouch-anal anastomosis is the treatment of choice.

Adenocarcinoma↗

[A case of umbilical polyp with aberrant pancreas and small intestinal mucosa--analysis of cases of umbilical polyp reported in Japan].

We report a case of a 60 year-old man with an umbilical polyp composed of the aberrant pancreas and small intestinal mucosa. This is an extremely rare lesion which originates in remnants of omphalomesenteric duct and is usually diagnosed in the infant period. Microscopic examination disclosed the aberrant pancreas with exocrine glands and ducts, but no islets of Langerhans. The above findings suggested that the pancreas might have been HEINRICH II in type.

Abdominal Neoplasms↗

Gastrointestinal polyps and polyp syndromes in adolescents.

Although gastrointestinal polyps are more common in the first decade of life than during adolescence, underlying genetic polyposis syndromes are more likely in adolescents. In the past decade, the discovery of gene defects associated with polyposis syndromes has improved classification of these disorders, assisted in the stratification of cancer risk, and permitted more precise diagnosis. Genetic testing is now clinically available for the gene defects that occur in familial adenomatous polyposis coli, Peutz-Jeghers syndrome, Cowden syndrome, and juvenile polyposis syndrome. This review outlines clinical features, genetics, and management strategies for the major polyposis syndromes that affect adolescents.

Adenomatous Polyposis Coli↗