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Journals / Selçuk Tıp Dergisi / 2019 / Cilt: 35 - Sayı: 1

Giant Villous Adenoma Which Appears As a Cancer Cousing Rectal Prolapsus

Rektal Prolapsusa Neden Olmuş Kanser Görüntüsü Olan Dev Villöz Adenom

Murat ÇAKIR
Mehmet KILIÇ
Pages
51–54
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Colorectal polips are lesions which has the risk to turn into cancers thus, detoiled histopatologic examination and gently decission of surgery is needed.

📌 3 Key Takeaways

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Objective & Hypothesis:Many of the colorectal cancers originated from polips.We wanted to discuss a case accompanied with literature who has a complicated giant rectal polip which presented with an unusual clinic and confusion in diagnosis. 36 years old male patient.He has cramp like stomache and changing in volonic habits for about a year.During colonoscopy a malign mass in caecum and a giant villous adenoma in rectum is identified.
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Key Findings & Data:The mass in caecum is excised via laparoscopic surgery.The mass in rectum received polipectomy via local excision.Altough a cancer has seen in the polip the surgery is considered opprepriote because of the surgical frontier and acceptable histologic properties.
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Conclusion & Impact:Colorectal polips are lesions which has the risk to turn into cancers thus, detoiled histopatologic examination and gently decission of surgery is needed.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Many of the colorectal cancers originated from polips.We wanted to discuss a case accompanied with literature who has a complicated giant rectal polip which presented with an unusual clinic and confusion in diagnosis. 36 years old male patient.He has cramp like stomache and changing in volonic habits for about a year.During colonoscopy a malign mass in caecum and a giant villous adenoma in rectum is identified. The mass in caecum is excised via laparoscopic surgery.The mass in rectum received polipectomy via local excision.Altough a cancer has seen in the polip the surgery is considered opprepriote because of the surgical frontier and acceptable histologic properties. Colorectal polips are lesions which has the risk to turn into cancers thus, detoiled histopatologic examination and gently decission of surgery is needed.

Özet

Kolorektal kanserlerin büyük çoğunluğu poliplerden gelişir. Beklenmedik bir klinikle ortaya çıkan ve tanıda yanılmaya neden olan karmaşık dev rektal polipli bir olguyu literatür eşliğinde tartışmak istedik. Olgu: Otuz altı yaşında erkek hasta. Yaklaşık 1 yıldır olan kramp tarzı karın ağrısı ve barsak alışkanlığında değişme mevcuttu. Kolonoskopide çekumda malign kitle ve rektumda dev villöz adenom tespit edildi. Çekumdaki kitle laparoskopik cerrahi ile çıkarıldı. Rektumdaki kitleye lokal eksizyonla polipektomi yapıldı. Polipte kanser görülmesine rağmen cerrahi sınır ve kabul edilebilir histolojik özellikler nedeniyle yapılan işlem yeterli kabul edildi. Kolorektal polipler kanser riski taşıyan lezyonlar olduğu için detaylı histopatolojik inceleme yapılmalı ve cerrahi karar titizlikle verilmelidir

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Cite This Article

ÇAKIR, M., KILIÇ, M. (2019). Giant Villous Adenoma Which Appears As a Cancer Cousing Rectal Prolapsus. Selçuk Tıp Dergisi, Cilt: 35 - Sayı: 1, 51–54. https://ajindex.com/articles/319059

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References (14)

  1. Heitman SJ, Ronksley PE, Hilsden RJ, et al. Prevalence of adenomas and colorectal cancer in average risk individuals: A systematic review and meta-analysis. Clin Gastroenterol Hepatol 2009;7(12):1272-6
  2. Soetikno R, Friedland S, Kaltenbach T, et al. Nonpolypoid (flat and depressed) colorectal neoplasms. Gastroenterology 2006;130(2):566-72
  3. The Paris endoscopic classification of superficial neoplastic lesions: Esophagus, stomach, and colon: November 30 to December 1, 2002. Gastrointest Endosc 2003;58:S3-43-6
  4. Arain MA, Sawhney M, Sheikh S, et al. CIMP status of interval colon cancers: Another piece to the puzzle. Am J Gastroenterol 2010;105(5):1189-95
  5. Laiyemo AO, Murphy G, Sansbury LB, et al. Hyperplastic polyps and the risk of adenoma recurrence in the polyp prevention trial. Clin Gastroenterol Hepatol 2009;7(2):192-7
  6. Soetikno RM, Kaltenbach T, Rouse RV, et al. Prevalence of nonpolypoid (flat and depressed) colorectal neoplasms in asymptomatic and symptomatic adults. JAMA 2008;299(9):1027-31
  7. Rex DK, Ahnen DJ, Baron JA, et al. Serrated lesions of the colorectum: Review and recommendations from an expert panel. Am J Gastroenterol 2012;107(9):1315
  8. Carlsson G, Petrelli NJ, Nava H, et al. The value of colonoscopic surveillance after curative resection for colorectal cancer or synchronous adenomatous polyps. Arch Surg 1987;122(11):1261-6
  9. Williams AR, Balasooriya BA, Day DW. Polyps and cancer of the large bowel: A necropsy study in Liverpool. Gut 1982;23(10):835-9
  10. Ben Q, An W, Jiang Y, et al. Body mass index increases risk for colorectal adenomas based on meta-analysis. Gastroenterology 2012;142(4):762-7
  11. O'Brien MJ, Winawer SJ, Zauber AG, et al. The National Polyp Study. Patient and polyp characteristics associated with high- grade dysplasia in colorectal adenomas. Gastroenterology 1990;98(2):371-7
  12. Atkin WS, Saunders BP. British Society for Gastroenterology, Association of Coloproctology for Great Britain and Ireland. Surveillance guidelines after removal of colorectal adenomatous polyps. Gut 2002;51:6-11
  13. Riddell RH, Goldman H, Ransohoff DF, et al. Dysplasia in inflammatory bowel disease: Standardized classification with provisional clinical applications. Hum Pathol 1983;14(11):931- 68
  14. Kudo SE, Wakamura K, Ikehara N, et al. Diagnosis of colorectal lesions with a novel endocytoscopic classification - a pilot study. Endoscopy 2011;43(10):869-75.