P. 1
What Are Polyps

What Are Polyps

|Views: 41|Likes:
Published by Micah Pingawan

More info:

Published by: Micah Pingawan on Nov 10, 2010
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as DOCX, PDF, TXT or read online from Scribd
See more
See less

01/07/2013

pdf

text

original

What Are Polyps?

A polyp is an abnormal growth of tissue projecting from a mucous membrane. If it is attached to the surface by a narrow elongated stalk it is said to be pedunculated. If no stalk is present it is said to be sessile. A polyp is a projecting mass of overgrown tissue. It looks a lot like an inflated balloon, with the part you tie off attached to wherever it's growing from.

experienced by up to 10% of women. They may have a large flat base (sessile) or be attached to the uterus by an elongated pedicle (pedunculated).Pedunculated polyps are more common than sessile ones. They range in size from a few millimeters to several centimeters. If pedunculated, they can protrude through the cervix into the vagina. Small blood vessels may be present in polyps, particularly large ones. Cervical Polyp A cervical polyp is a common benign polyp or tumor on the surface of the cervical canal. They can cause irregular menstrual bleeding or increased pain but often show no symptoms. Treatment consists of simple removal of the polyp and prognosis is generally good.About 1%

of cervical polyps will show neoplastic change which may lead to cancer. They are most common in post-menstrual, pre-menopausal women who have given birth. Adenomatous Polyps Adenomatous polyps, or adenomas, are polyps that grow on the lining of the colon and which carry a high risk of cancer. The adenomatous polyp is considered pre-malignant, likely to develop into colon cancer. The other types of polyps that can occur in the colon are the hyperplastic and inflammatory polyps. They are unlikely to develop into colorectal cancer. About 50 per cent of people aged 60 will have at least one adenomatous polyp of 1 cm diameter or greater.Multiple adenomatous polyps often result in familial polyposis coli or familial adenomatous polyposis, a condition that carries a very high risk of colon cancer. Adenomas comprise approximately 10% of polyps. Most polyps (approximately 90%) are small, usually

Are There Classifications Of Polyps?
Endometrial Polyp An endometrial polyp or uterine polyp is a polyp or lesion in the lining of the uterus (endometrium) that takes up space within the uterine cavity. Commonly occurring, they are

Adenomatous polyps are associated with high fat diets. What Usually Causes Polyps? Most polyps. Commonly. diets that are high in red meat. the risk of developing adenomas and colon cancer increases if the patient has a family history of polyps or colorectal cancer. As colon polyps are common in industrialized countries. as detected by fecal occult testing to frank blood per rectum. Fortunately. The family history appears to become an increased risk of developing colon polyps particularly when they are diagnosed before the age of 60. DNA damage occurs surprisingly often. several. smoking and an unhealthy lifestyle may be accounted as risks of developing colon polyps and colon cancer. low fiber diets. smoking and obesity. Hereditary Non-Polyposis Colon Cancer (HNPCC) or Cowden disease have an increased risk of developing adenomas and colorectal cancer. it is believed that the lifestyle and dietary choices play an important role in developing any type of colon polyp. symptomatic polyps also present with a lower GI bleeding which may range from occult bleeding. Adenomatous polyps however tend to cause symptoms when they are 2 cm or more in diameter. The remaining 10% of adenomas are larger than 1 cm and approach a 10% chance of containing invasive cancer. result from some form of genetic mutation in one of the colon lining cells. probably at least five. higher body mass was positively associated with an increased risk of adenomas leading to colon cancer How Do I Identify If I Have Colonic Polyps? Although most colonic polyps are asymptomatic. the most common symptom is rectal . Moreover in some studies.less than 1 cm in diameter. Yet. and have a small potential for malignancy. Also. Adenomatous polyps are rare in people younger than 40 years and their incidence increases with age. Genetics and age are risk factors of developing adenomas. with the exceptio n of the inflamm atory pseudo polyps. the symptoms and their severity depends upon the size of the polyp. In these cases. Individuals suffering from genetic disorders such as familial adenomatous polyposis. mutations are needed in the same cell before cancer occurs and most benign polyps probably only have one gene mutated.

Also. A solitary pedunculated adenoma is usually removed during a colonoscopy and this is generally curative. Multiple adenomas. particularly in patients with a history of colonic polyps and low basal consumption levels. Also.[24] One study suggests that aspirin may be beneficial in reducing the incidence of recurrent colonic polyps.bleeding. Large polyps may also cause profuse watery diarrhea. particularly advanced colonic polyps in select patients with a high risk of colon cancer and an acceptably low risk of . colonoscopy is recommended as follow-up treatment. depending on their number. The main treatment for adenomas and other types of colon polyps is colonoscopic polypectomy or colonic resection. which can result in severe potassium deficiency causing muscle weakness. there is an increased risk that others will also develop. or segmental resection Treatment Some studies have demonstrated that medical treatment with nonsteroidal anti-inflammatory drugs(NSAIDs) decreases the number and the size of colonic polyps. type and size. are treated with colonic resection. Although the recurrence rate is small. The procedure may include a total colectomy. Yet. consumption of calcium and folate may confer a modest protective effect. often associated with familial adenomatous polyposis. Adenomatous polyps may be found during colonoscopies and removed at the same time. large sessile polyps or recurrent polyps are also cured with colonic resection. subtotal colectomy with rectal sparing. gastrointestinal bleeding or hemorrhagic stroke. when a single adenomatous polyp is found. Symptoms of adenomas include irregular bowel movements including diarrhea or constipation and dark patches of blood in the stool.

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->