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[Endoscopic polypectomy and adenoma-carcinoma sequence of the large intestine. Considerations on personal case series].
G Chir. 1990 Oct; 11(10):573-8.GC

Abstract

Since the introduction of colonoscopic polypectomy, the management of colonic polyps has dramatically changed. What once was a major transabdominal operation now is a routine therapeutic endoscopic procedure. To test the hypothesis of the adenoma-carcinoma sequence histopathologic features of polypoid lesions are retrospectively evaluated. In our experience with 566 polypectomies 430 adenomatous polyps, 71 hyperplastic, 58 inflammatory polyps, and 4 juvenile lesions are reported. Only adenomatous polyps showed dysplasia. Overall, severe and moderate dysplasia was respectively observed in 6.7% and 23% of the adenomas. Infiltrating carcinoma was present in 2.2% of the cases. Villous adenomas showed high rates of severe dysplasia (37%) and invasive carcinoma (18%). Location and sex did not seem to have a role in the malignant potential of adenomas.

Authors+Show Affiliations

Stolfi VM
Cattedra di Semeiotica Chirurgica, II Università degli Studi Tor Vergata, Roma.
Bacaro D
No affiliation info available
Rossi P
No affiliation info available
Quintigliano D
No affiliation info available
Spina C
No affiliation info available
Canale MP
No affiliation info available
Gentileschi E
No affiliation info available

MeSH

AdenomaCecal NeoplasmsCecumColonColon, SigmoidColonic NeoplasmsEndoscopyFemaleHumansIntestinal PolypsMaleRectal NeoplasmsRectumRetrospective StudiesSigmoid Neoplasms

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

ita

PubMed ID

2288848

Citation

Stolfi, V M., et al. "[Endoscopic Polypectomy and Adenoma-carcinoma Sequence of the Large Intestine. Considerations On Personal Case Series]." Il Giornale Di Chirurgia, vol. 11, no. 10, 1990, pp. 573-8.
Stolfi VM, Bacaro D, Rossi P, et al. [Endoscopic polypectomy and adenoma-carcinoma sequence of the large intestine. Considerations on personal case series]. G Chir. 1990;11(10):573-8.
Stolfi, V. M., Bacaro, D., Rossi, P., Quintigliano, D., Spina, C., Canale, M. P., & Gentileschi, E. (1990). [Endoscopic polypectomy and adenoma-carcinoma sequence of the large intestine. Considerations on personal case series]. Il Giornale Di Chirurgia, 11(10), 573-8.
Stolfi VM, et al. [Endoscopic Polypectomy and Adenoma-carcinoma Sequence of the Large Intestine. Considerations On Personal Case Series]. G Chir. 1990;11(10):573-8. PubMed PMID: 2288848.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Endoscopic polypectomy and adenoma-carcinoma sequence of the large intestine. Considerations on personal case series]. AU - Stolfi,V M, AU - Bacaro,D, AU - Rossi,P, AU - Quintigliano,D, AU - Spina,C, AU - Canale,M P, AU - Gentileschi,E, PY - 1990/10/1/pubmed PY - 1990/10/1/medline PY - 1990/10/1/entrez SP - 573 EP - 8 JF - Il Giornale di chirurgia JO - G Chir VL - 11 IS - 10 N2 - Since the introduction of colonoscopic polypectomy, the management of colonic polyps has dramatically changed. What once was a major transabdominal operation now is a routine therapeutic endoscopic procedure. To test the hypothesis of the adenoma-carcinoma sequence histopathologic features of polypoid lesions are retrospectively evaluated. In our experience with 566 polypectomies 430 adenomatous polyps, 71 hyperplastic, 58 inflammatory polyps, and 4 juvenile lesions are reported. Only adenomatous polyps showed dysplasia. Overall, severe and moderate dysplasia was respectively observed in 6.7% and 23% of the adenomas. Infiltrating carcinoma was present in 2.2% of the cases. Villous adenomas showed high rates of severe dysplasia (37%) and invasive carcinoma (18%). Location and sex did not seem to have a role in the malignant potential of adenomas. SN - 0391-9005 UR - https://www.unboundmedicine.com/medline/citation/2288848/[Endoscopic_polypectomy_and_adenoma_carcinoma_sequence_of_the_large_intestine__Considerations_on_personal_case_series]_ DB - PRIME DP - Unbound Medicine ER -