Serrated adenoma of the colorectum : colonoscopic and histologic features

BACKGROUND: Serrated adenoma is a recently recognized epithelial neoplasm of the colorectum. The aim of this study is to clarify the colonoscopic features of serrated adenomas.

METHODS: The endoscopic findings for 52 serrated adenomas of the colorectum were investigated; these were then divided into three groups according to surface features. The histologic type (tubular, tubulovillous or villous) and the incidence of high-grade dysplasia were compared among the three groups.

RESULTS: The surface under chromoscopy showed a hyperplastic pattern in 17 lesions, a cerebriform pattern in 18 lesions and a combined pattern in 17 lesions. The tubular type of serrated adenoma was predominant in the hyperplastic pattern group (94%), whereas the tubulovillous or villous histologic types were frequent in the cerebriform pattern (89%) and combined pattern (82%) groups. High-grade dysplasia was found in 18% of the combined pattern adenomas; the incidence was lower in hyperplastic (6%) or cerebriform pattern (0%) adenomas.

CONCLUSIONS: Surface features of serrated adenomas have a close correlation with their histologic type. A combined hyperplastic-cerebriform surface pattern under chromoscopy was seen only in serrated adenomas.

Medienart:

Artikel

Erscheinungsjahr:

1999

Erschienen:

1999

Enthalten in:

Zur Gesamtaufnahme - volume:49

Enthalten in:

Gastrointestinal endoscopy - 49(1999), 6 vom: 12. Juni, Seite 736-42

Sprache:

Englisch

Beteiligte Personen:

Matsumoto, T [VerfasserIn]
Mizuno, M [VerfasserIn]
Shimizu, M [VerfasserIn]
Manabe, T [VerfasserIn]
Iida, M [VerfasserIn]
Fujishima, M [VerfasserIn]

Themen:

Comparative Study
Journal Article

Anmerkungen:

Date Completed 21.07.1999

Date Revised 30.03.2022

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM102755671