Original Research Article
Year: 2019 | Month: September | Volume: 6 | Issue: 9 | Pages: 346-352
Evaluation of Solitary Polypoid Mass in Colorectal Region with Clinico Pathological Correlation
Dr Soumya Kundu1, Dr Aditi Bhattacharyya2, Dr Manatosh Mandal1, Dr Debanjan Bhattacharjee3
1Assistant Professor, 2Associate Professor, 3Demonstrator,
Department of Pathology, Midnapore Medical College, Medinipur-732101, West Bengal, INDIA.
Corresponding Author: Dr Aditi Bhattacharyya
ABSTRACT
Background: A colorectal polyp is a visible protrusion above the surface of the surrounding normal large bowel mucosa. Various histologic types of polyps are found, common types being juvenile, adenomatous, hyperplastic & inflammatory. The spectrum of polyps varies according to age group and geographic location.
Aim: To study the incidence and distribution of various histologic types of solitary colorectal polypoid lesions separately in pediatric and adult population and analyze the clinico-pathological spectrum.
Materials and Methods: Samples from patients undergoing colonoscopic polypectomy, colonoscopic biopsy and colectomy done for solitary polypoid growth in colorectal region, received in our surgical pathology section over a period of 4 years, prospectively and retrospectively, were included. Data on age, gender, relevant clinical history, site and size of polyps and histology type were recorded.
Results: A total of 86 polypoid lesions were examined out of which 40 cases belonged to the pediatric age group, whereas 46 cases were adult. 70% of the polyps in the pediatric age group were juvenile hamartomatous type, located most commonly in the rectum. In the adult cases, almost 78% of the polyps (36/46) were located in the left colon; adenomatous polyp was the most common type of polyp. Larger polyps were associated with severe degree of dysplasia. 3 cases of Infiltrating Adenocarcinoma and 2 cases of melanoma presented as polypoid mass were also found.
Conclusions: In view of adenomatous polyp being the most prevalent variety in adult population a screening colonoscopy should be emphasized in our country to reduce the incidence of colorectal carcinoma.
Key words: Polyp, colorectal, juvenile, colonoscopy, adenomatous
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