Case Of Inflammatory Polyp Research Articles

Analysis of the Pathological Examination Results of 100 Colon Polyps Cases after EMR or ESD Operation

Aim: To study the characteristics of EMR (endoscopic mucosal resection) or ESD (endoscopic submucosal dissection) postoperative pathological examination of colonic polyps in different age groups, and the difference of pathological examination after EMR or ESD operation. Methods: A retrospective analysis was made of the EMR or ESD postoperative pathological data of 100 cases of colonic polyps patients in the Jingzhou Central Hospital digestive internal medicine. The time is from March 2016 to March 2018. Results: In 100 cases of EMR or ESD operation, there are 65 cases of young and middle-aged group. Pathological examination results include: 34 cases of adenomatous polyp, 18 cases of inflammatory polyp, 11 cases of benign tumors, 1 case of malignant tumor, 1 case of hyperplastic polyp. There are 35 cases of elderly group. Pathological examination results include: 27 cases of adenomatous polyp, 2 cases of inflammatory polyp, 2 cases of benign tumors, 4 cases of malignant tumor. 71 cases of complete EMR operation include: 51 cases of adenomatous polyp, 17 cases of inflammatory polyp, 3 cases of benign tumors; 29 cases of complete ESD operation include: 10 cases of adenomatous polyp, 3 cases of inflammatory polyp, 10 cases of benign tumors, 5 cases of malignant tumor, 1 case of hyperplastic polyp. Conclusion: For the pathological examination results after EMR or ESD operation, the proportion of inflammatory polyps in the young and middle-aged group was greater than that in the elderly group. The proportion of adenomatous polyps in the elderly group was larger than that in the young and middle-aged group. The proportion of adenomatous polyps in EMR was greater than that of ESD. The proportion of benign tumors and malignant tumors in ESD was greater than that of EMR. The difference has statistical significance.

煙煤吸入により気道の炎症性ポリープと気管狭窄をきたした 1 例

煙煤吸入により気道の炎症性ポリープと気管狭窄をきたした 1 例

A Case of Inflammatory Polyp Caused by a Bronchial Foreign Body Treated by Microwave Coagulation Therapy

A Case of Inflammatory Polyp Caused by a Bronchial Foreign Body Treated by Microwave Coagulation Therapy

Diagnostic value of high-resolution micro-endoscopy for the classification of colon polyps.

To study a new imaging equipment, high-resolution micro-endoscopy (HRME), in the diagnosis and pathological classification of colon polyps. We selected 114 specimens of colon polyps, 30 of which were colon polyps with known pathological types and 84 that were prospective polyp specimens; 10 normal colon mucosa specimens served as controls. We obtained images of 30 colon polyp specimens with known pathological types using HRME and analyzed the characteristics of these images to develop HRME diagnostic criteria for different pathological types of colon polyps. Based on these criteria, we performed a prospective study of 84 colon polyp specimens using HRME and compared the results with those of the pathological examination to evaluate the diagnostic value of HRME in the pathological classification of different types of colon polyps. In the 30 cases of known pathological type of colon polyp samples, there were 21 cases of adenomatous polyps, which comprised nine cases of tubular adenoma, seven cases of villous adenoma and five cases of mixed adenomas. The nine cases of non-adenomatous polyps included four cases of inflammatory polyps and five cases of hyperplastic polyps five. Ten cases of normal colonic mucosa were confirmed pathologically. In a prospective study of 84 cases using HRME, 23 cases were diagnosed as inflammatory polyps, 11 cases as hyperplastic polyps, 18 cases as tubular adenoma, eight cases as villous adenoma and 24 cases as mixed adenomas. After pathological examination, 24 cases were diagnosed as inflammatory polyps, 11 cases as hyperplastic polyps, 19 cases as tubular adenoma, eight cases as villous adenoma and 22 cases as mixed adenomas. Compared with the pathological examinations, the sensitivities, specificities, accuracies, and positive and negative predictive values of HRME in diagnosing inflammatory polyps (87.5%, 96.7%, 94.0%, 91.3% and 95.1%), hyperplastic polyps (72.7%, 95.9%, 92.9%, 72.7% and 95.9%), tubular adenomas (73.7%, 93.8%, 89.3%, 77.8% and 92.4%), villous adenomas (75.0%, 97.4%, 95.2%, 75.0% and 97.4%), and mixed adenomas (75.0%, 93.3%, 88.1%, 81.8% and 90.3%) were relatively high. HRME has a relatively high diagnostic value in the pathological classification of colon polyps. Thus, it may be an alternative to confocal microendoscopy in lower-resource or community-based settings.

Application value of sequential colorectal screening program in health check-ups

Objective To explore the application value of the sequential colorectal cancer screening program in population completed health check-ups. Methods The healthy individuals were enrolled from November 2013 to July 2014. Questionnaire survey of risk factors quantity assessment and fecal occult blood test (FOBT) were used for initial screening for colorectal cancer. According to the results of initial screening, subjects were divided into high-risk group and low-risk group. The detection rates of polyps and cancers of two groups were compared. Chi-square test was performed for statistic alanalysis. Results A total of 525 individuals completed the colonoscopy. There were 187 individuals in high-risk group and 338 individuals in low-risk group. The results of colonscope examination showed that 70 cases of high-risk group were detected with polyps or colorectal cancer, including 7(10.0%) cases of colorectal cancers, 8(11.4%) cases of advanced adenoma, 30(42.9%) cases of non-advanced adenoma and 25(35.7%) cases of inflammatory polyps. In low-risk group, 63 individuals had polyps or colorectal cancer, including 5(7.9%) cases of advanced adenoma, 38(60.3%) cases of non-advanced adenoma and 20(31.7%) cases of inflammatory polyps. The differences of polyps and colorectal cancer detection rates between two groups were statistically significant (χ2=3.905 and 10.136, P=0.048 and 0.001). Conclusion The sequential colorectal screening program including colorectal cancer risk factors quantity assessment questionnaire and FOBT seems to be a valuable tool in clinical practice. Key words: Colorectal neoplasms; Colonic polyps; Screening

Endoscopic findings of colonic polyps with different pathological types

The endoscopic findings of 884 cases of colonic polyps with different pathological types were retrospectively analyzed.Among all cases,there were 418 cases of tubular adenoma (47.3％ ),92 cases of fluff tubular adenoma ( 10.4％ ),334 cases of inflammatory polyps ( 37.8％ ) and 40 cases of hyperplastic polyps (4.5％ ).There were significant differences in age,location,polyp surface morphology and Yamada grouping among colonic polyps with different pathological types (P ＜0.05).The average age of fluff tubular adenoma group [ (64 ± 12)y] was the highest among all patients; and the average diameter of polyps was the largest [ ( 1.38 ± 1.09 ) cm ],lobulated and mulbenry,polyps were the most common forms; and the majority of fluff tubular adenoma was Yamada type Ⅲ or Ⅳ.The results indicate that fluff tubular adenoma was associated with higher age,larger polyp size,surface morphology and Yamada grouping (P ＜0.05). Key words: Intestinal polyps; Endoscopy,gastrointestinal

大量下血をきたした盲腸炎症性ポリープの1例

大量下血をきたした盲腸炎症性ポリープの1例