Abstract
Polyp’ is a descriptive term for abnormal projection above an epithelial surface and is not a histological diagnosis. Adenoma is a benign neoplasm of glandular origin and is significant because they are cancers in making. Once a polyp is found, it must be removed in total. Attempts at estimating the polyp histology by endoscopic appearance are often incorrect. With recent advances in endoscopic techniques, most of the polyps are removable through endoscopy. However, there remain a few situations depending on location, size of the lesion and endoscopic expertise available, where complete removal of the polyp requires surgical intervention especially so for large sessile adenomas. We are presenting here four cases of villous adenoma requiring surgical intervention each managed differently depending on presentation and overall clinical picture.
Highlights
The word ‘polyp’ is a descriptive term for any abnormal projection above an epithelial surface (1)
An endoscopic procedure is the first line of treatment for the villous tumor, some time the size and the location restrict the use of endoscopic removal
The lesion was removed in total and HPE was reported as a villous adenoma with low-grade dysplasia
Summary
For citation: Sisir B.; Sankar S., Balu Jagan, Santhosh Kumar G., Neelendra M. Sankar — Professor, Head of Department of SGE, Sri Ramachandra Institute of Higher Education and research Dr Jagan Balu — Assistant professor, Department of SGE Sri Ramachandra Institute of Higher Education and Research Dr Santhosh Kumar G. — Pg (Mch) department of SGE Sri Ramachandra Institute of Higher Education and Research Dr M.N.V. Neelendra — Pg (Mch) department of SGE Sri Ramachandra Institute of Higher Education and Research Б. Сисир – отделение хирургической гастроэнтерологии Института высшего образования и исследований Шри Рамачандры С. Санкар – профессор, заведующий кафедрой SGE, Институт высшего образования и исследований Шри Рамачандры Джаган Балу – доцент кафедры хирургической гастроэнтерологии Сантош Кумар Г.
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