Abstract
Objective. Аnalysis of pathohistological structure of small polyps (up to 5 mm in size), revealed while doing colonoscopy, and estimation of their transformation into malignant tumors.
 Маterials and methods. The work was performed on the base of Division of Endoscopy in Department of Surgery in Central Hospital of Customs, City of Baku. There were endoscopically excised, using the biopsy forceps, 42 small polyps, and estimated pathohistologically.
 Results. Of 42 small polyps in 11 the signs of dysplasia were revealed, in 31 polyps the signs of dysplasia were absent. In accordance to pathohistological data the polyps were classified as hyperplastic - 11, inflammatory - 11, glandular - 19, glandular-villous - 1. Polyps, owing dysplasia signs, were referred to glandular and glandular-villous.
 Conclusion. The investigation have confirmed, that in some observations a direct proportionality between a polyp size and his pathohistological structure was absent, and even in small polyps a dysplasia signs are revealed. Thus, small polyps may be considered as “cancerous predecessors”. Identification and excision of adenomatous polyps lowers the risk for colorectal carcinosis and malignancies occurrence on early stage.
Highlights
ǕǷȑǹȑȃǹǬ ȁȑǼǿǼǯȑȋ липов, своевременное выявление аденом при колоноскопии и их удаление является наиболее совершенным способом предотвращения колоректального рака [5]
В связи с этим мелкие полипы также следует рассматривать как предшественники рака, поэтому их удаление при обнаружении предотвращает развитие в отдаленном периоде колоректального рака у данных больных
Summary
Анализ патогистологического строения мелких полипов (размером до 5 мм), обнаруженных при колоноскопии, и оценка риска их перехода в злокачественные образования. Изучены путем патогистологического исследования 42 мелких полипа, удаленные эндоскопически с помощью биопсийных щипцов. Из 42 мелких полипов в 11 выявлены признаки дисплазии, в 31 полипе признаков дисплазии не было. Ɉɨ ɞɚɧɧɵɦ патогистологического исследования полипы распределили следующим образом: гиперпластические – 11, воспалительные – 11, железистые – 19, железисто–ворсинчатые – 1.
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