The evaluation of colon polyps and factors affecting malignancy of polyps

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PEKSÖZ R., BORAZAN S., DİŞÇİ E., AGIRMAN E.

ANNALS OF CLINICAL AND ANALYTICAL MEDICINE, cilt.12, sa.5, ss.582-586, 2021 (ESCI) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 12 Sayı: 5
  • Basım Tarihi: 2021
  • Doi Numarası: 10.4328/acam.20651
  • Dergi Adı: ANNALS OF CLINICAL AND ANALYTICAL MEDICINE
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI)
  • Sayfa Sayıları: ss.582-586
  • Anahtar Kelimeler: Colonic polyps, Histopathology, Localization, Size, Malignancy, COLORECTAL-CANCER, SURVEILLANCE, GUIDELINES, RESECTION, ADENOMAS, RISK, SEX, AGE
  • Atatürk Üniversitesi Adresli: Evet

Özet

Abstract

Aim: The aim of the study is to examine the demographic and histopathological characteristics of colorectal polyps and to discuss the risk factors for polyps

to become malignant.

Material and Methods: A total of 3285 patients who underwent colonoscopy between 2016-2020 were examined. The age and gender of patients, the histopathological type, size, and the number of the polyps, and the region where the polyp was located in the colon were recorded.

Results: Three hundred ninety-five patients were included, and 547 polyps were examined; 67% of the patients were male, 33% were female, and the mean age

was 55.4 years. Adenomatous polyps accounted for 62.5% of all polyps, 30.71% were hyperplastic polyps, 6.8% were other polyps. Polyps were located with

a rate of 33.45% in rectum, 26.87% in sigmoid colon, 6.2% in ascending colon, 15.9% in transverse colon, 13.71% in descending colon, and 3.83% in cecum.

Patients were divided into 2 groups: Group 1: low- risk group 85.8% and Group 2: high -risk group 14.2%. The number of males was higher in both groups. The

mean of polyps and polyp diameters were higher in Group 2, and a significant difference was detected between the groups (p <0.001).

Discussion: Colon polyps are more common in men, especially after the age of 50. The patient’s age, and the polyp’s number, size, and histopathological type

are effective factors in the malignancy’s development. The majority of polyps are located in the rectosigmoid region, and sigmoidoscopy alone can detect the

majority of colorectal polyps and contribute to the diagnosis and treatment of polyps.

Keywords

Colonic polyps; Histopathology; Localization; Size; Malignancy