New Classification of Benign Epithelial Tumors: Colorectal Polyps and Synchronous Neoplasms: An Update and Critical Assessment: An Analysis of 678 Consecutive Cases and 1137 Polyps
Objective: We aimed to evaluate of colorectal high-risk polyps and synchronized neoplasms and carcinomas with anatomical localization and demographic characteristics. Methods: Between July 1, 2018 and July 1, 2022, 1137 polypectomy materials of 678 consecutive patients who were diagnosed in the path...
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| Language: | English |
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Galenos Publishing House
2023-03-01
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| Series: | Medeniyet Medical Journal |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-22755 |
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| author | Ali KOYUNCUER Tulay ZENGINKINET |
| author_facet | Ali KOYUNCUER Tulay ZENGINKINET |
| author_sort | Ali KOYUNCUER |
| collection | DOAJ |
| description | Objective: We aimed to evaluate of colorectal high-risk polyps and synchronized neoplasms and carcinomas with anatomical localization and demographic characteristics.
Methods: Between July 1, 2018 and July 1, 2022, 1137 polypectomy materials of 678 consecutive patients who were diagnosed in the pathology department and underwent total colonoscopy were included in the study. All epithelial polyps were re-classified according to the World Health Organization classification of digestive system tumors-2019, 5th edition.
Results: The cases of 60.5% were male and 39.5% were female. The mean age of patients with polyps was 61.1 (+-11.1) years. There was a statistically significant difference between the presence of gender and all epithelial polyps (p=0.044). Epithelial polyps were more common in men than in women (ratio; male/female 1.58: 1). While the average size of the polyps was 5.2 (+-5.08) millimeters (mm), 86.6% of all polyps were smaller than 10 mm. Solitary polyps were observed in 62.5% of all polyps, and multiple polyps were observed in 37.5%. Epithelial polyps constituted 96% of all polyps, and conventional tubular adenoma (69%) was the most common type of polyp. Advanced adenomas (intramucosal adenocarcinomas, polyp cancer) and synchronous adenocarcinomas were found to be 1.4% (16 polyps) and 0.9% (6 patients) respectively. Polyps were most frequently observed in the sigmoid colon, with a rate of 22.8%, followed by the descending colon and rectum most frequently. There was a significant association between epithelial polyps and anatomical locations (p<0.001).
Conclusions: In conventional colorectal adenomas, the frequency of co-occurrence of synchronous neoplasms is higher than in other polyp types. |
| format | Article |
| id | doaj-art-755d47b4c88e40599aa96ad50de1c15a |
| institution | Kabale University |
| issn | 2149-2042 2149-4606 |
| language | English |
| publishDate | 2023-03-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Medeniyet Medical Journal |
| spelling | doaj-art-755d47b4c88e40599aa96ad50de1c15a2025-01-30T07:05:46ZengGalenos Publishing HouseMedeniyet Medical Journal2149-20422149-46062023-03-01381394410.4274/MMJ.galenos.2023.22755MEDJ-22755New Classification of Benign Epithelial Tumors: Colorectal Polyps and Synchronous Neoplasms: An Update and Critical Assessment: An Analysis of 678 Consecutive Cases and 1137 PolypsAli KOYUNCUER0Tulay ZENGINKINET1University of Health Sciences Turkey, Umraniye Training and Research Hospital, Clinic of Pathology, Istanbul, TurkeyIstanbul Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Clinic of Pathology, Istanbul, TurkeyObjective: We aimed to evaluate of colorectal high-risk polyps and synchronized neoplasms and carcinomas with anatomical localization and demographic characteristics. Methods: Between July 1, 2018 and July 1, 2022, 1137 polypectomy materials of 678 consecutive patients who were diagnosed in the pathology department and underwent total colonoscopy were included in the study. All epithelial polyps were re-classified according to the World Health Organization classification of digestive system tumors-2019, 5th edition. Results: The cases of 60.5% were male and 39.5% were female. The mean age of patients with polyps was 61.1 (+-11.1) years. There was a statistically significant difference between the presence of gender and all epithelial polyps (p=0.044). Epithelial polyps were more common in men than in women (ratio; male/female 1.58: 1). While the average size of the polyps was 5.2 (+-5.08) millimeters (mm), 86.6% of all polyps were smaller than 10 mm. Solitary polyps were observed in 62.5% of all polyps, and multiple polyps were observed in 37.5%. Epithelial polyps constituted 96% of all polyps, and conventional tubular adenoma (69%) was the most common type of polyp. Advanced adenomas (intramucosal adenocarcinomas, polyp cancer) and synchronous adenocarcinomas were found to be 1.4% (16 polyps) and 0.9% (6 patients) respectively. Polyps were most frequently observed in the sigmoid colon, with a rate of 22.8%, followed by the descending colon and rectum most frequently. There was a significant association between epithelial polyps and anatomical locations (p<0.001). Conclusions: In conventional colorectal adenomas, the frequency of co-occurrence of synchronous neoplasms is higher than in other polyp types.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-22755adenomadysplasiaintramucosal carcinomastubular |
| spellingShingle | Ali KOYUNCUER Tulay ZENGINKINET New Classification of Benign Epithelial Tumors: Colorectal Polyps and Synchronous Neoplasms: An Update and Critical Assessment: An Analysis of 678 Consecutive Cases and 1137 Polyps Medeniyet Medical Journal adenoma dysplasia intramucosal carcinomas tubular |
| title | New Classification of Benign Epithelial Tumors: Colorectal Polyps and Synchronous Neoplasms: An Update and Critical Assessment: An Analysis of 678 Consecutive Cases and 1137 Polyps |
| title_full | New Classification of Benign Epithelial Tumors: Colorectal Polyps and Synchronous Neoplasms: An Update and Critical Assessment: An Analysis of 678 Consecutive Cases and 1137 Polyps |
| title_fullStr | New Classification of Benign Epithelial Tumors: Colorectal Polyps and Synchronous Neoplasms: An Update and Critical Assessment: An Analysis of 678 Consecutive Cases and 1137 Polyps |
| title_full_unstemmed | New Classification of Benign Epithelial Tumors: Colorectal Polyps and Synchronous Neoplasms: An Update and Critical Assessment: An Analysis of 678 Consecutive Cases and 1137 Polyps |
| title_short | New Classification of Benign Epithelial Tumors: Colorectal Polyps and Synchronous Neoplasms: An Update and Critical Assessment: An Analysis of 678 Consecutive Cases and 1137 Polyps |
| title_sort | new classification of benign epithelial tumors colorectal polyps and synchronous neoplasms an update and critical assessment an analysis of 678 consecutive cases and 1137 polyps |
| topic | adenoma dysplasia intramucosal carcinomas tubular |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-22755 |
| work_keys_str_mv | AT alikoyuncuer newclassificationofbenignepithelialtumorscolorectalpolypsandsynchronousneoplasmsanupdateandcriticalassessmentananalysisof678consecutivecasesand1137polyps AT tulayzenginkinet newclassificationofbenignepithelialtumorscolorectalpolypsandsynchronousneoplasmsanupdateandcriticalassessmentananalysisof678consecutivecasesand1137polyps |