INTESTINE Vol.10 No.4(4-1)

Theme Serrated polyp of the colon, including large hyperplastic polyp
Title Clinicopathological features of large hyperplastic polyp
Publish Date 2006/07
Author Naoto Sakamoto Department of Gastroenterology, Juntendo University Medical School
Author Osamu Kobayashi Department of Gastroenterology, Juntendo University Nerima Hospital
Author Satoshi Abe Department of Gastroenterology, Juntendo University Shizuoka Hospital
Author Kazuko Beppu Department of Gastroenterology, Juntendo University Medical School
Author Tomoyoshi Shibuya Department of Gastroenterology, Juntendo University Medical School
Author Akira Konno Department of Gastroenterology, Juntendo University Medical School
Author Taro Osada Department of Gastroenterology, Juntendo University Medical School
Author Akihiro Namihisa Department of Gastroenterology, Juntendo University Medical School
Author Toshifumi Okusa Department of Gastroenterology, Juntendo University Medical School
Author Tatsuo Ogihara Department of Gastroenterology, Juntendo University Medical School
Author Takeshi Terai Terai Clinic
[ Summary ] Common hyperplastic polyps (common HPs) are non-neoplastic lesions and are found most frequently in the sigmoid colon and the rectum. They have a distinctive morphology-typically they are mucosal nodules less than 5 mm in size, which are pale and sessile. On the other hand, while large (defined as greater than 10 mm) hyperplastic polyps (large HPs) are morphologically similar to common HPs, large HPs are predominantly located in the right-side of the colon, and are pathologically different from common HPs. Moreover, a certain percentage of large HPs are potentially malignant. Therefore, large HPs should be considered as lesions, should be resected endoscopically.
back