Diminutive colonic polyps: an indication for colonoscopy

A prospective study investigated the significance of solitary diminutive colonic polyps discovered during screening flexible sigmoidoscopy. Eighty-two patients with a solitary diminutive polyp (less than or equal to 5 mm) underwent colonoscopy after cold biopsy of the index polyp. Of the patients wi...

Full description

Saved in:
Bibliographic Details
Published inDiseases of the colon & rectum Vol. 35; no. 2; p. 178
Main Authors Opelka, F G, Timmcke, A E, Gathright, Jr, J B, Ray, J E, Hicks, T C
Format Journal Article
LanguageEnglish
Published United States 01.02.1992
Subjects
Biopsy
Colonic Neoplasms - diagnosis
Colonic Neoplasms - pathology
Colonic Polyps - diagnosis
Colonic Polyps - pathology
Colonoscopy
Humans
Middle Aged
Prospective Studies
Sigmoidoscopy
Online AccessGet more information

Cover

More Information
Summary:A prospective study investigated the significance of solitary diminutive colonic polyps discovered during screening flexible sigmoidoscopy. Eighty-two patients with a solitary diminutive polyp (less than or equal to 5 mm) underwent colonoscopy after cold biopsy of the index polyp. Of the patients with adenomatous index polyps, 42.5 percent had proximal neoplastic polyps. Of the patients with hyperplastic index polyps, proximal neoplastic polyps were found in 38.9 percent. These data suggest that diminutive polyps identified during flexible sigmoidoscopy, whether adenomatous or hyperplastic, place the patient in the intermediate risk group for colorectal neoplasia. We recommend that any patient with polyps seen during screening sigmoidoscopy, regardless of histopathology, should undergo colonoscopy.
ISSN:0012-3706
1530-0358
DOI:10.1007/BF02050675