Article Sidebar

pdf
Date Published: 21/04/2025
Abstract Views: 32
Views pdf: 30
DOI: https://doi.org/10.51298/vmj.v548i3.13678
Issue
Vol. 548 No. 3 (2025)
Section
Các bài báo
How to Cite
Lê Vũ, D., Vũ Văn, S., Nguyễn Thị, N., Trương Khưu, D., Đào Thị Thu, T., & Thái Doãn, K. (2025). ENDOSCOPIC CHARACTERISTICS AND HISTOLOGY FEATURES OF SESSEL COLECTAL POLYP GREATER THAN 2CM IN SIZE. Vietnam Medical Journal, 548(3). https://doi.org/10.51298/vmj.v548i3.13678

ENDOSCOPIC CHARACTERISTICS AND HISTOLOGY FEATURES OF SESSEL COLECTAL POLYP GREATER THAN 2CM IN SIZE

Duy Lê Vũ, Sơn Vũ Văn, Ngọc Nguyễn Thị, Doanh Trương Khưu, Trang Đào Thị Thu, Kỳ Thái Doãn

Main Article Content

Abstract

Objective: To describe  the  endoscopic  imaging and histopathological characteristics colorectal sessile polyps ≥ 2cm. Patients and Method: Cross sectional study on 64 patients with a colorectal sessile polyps ≥ 2cm were treated endoscopically at 108 hospital and National cancer hospital from January 2020 to April 2024, use intervention design, monitor vertically. Result: the average of patients was 63 ± 13,3, the male/ female ratio was 0.7. the average size of a polyp 34,1 ±17,3 mm (20-120)mm, left colon and rectum 55/64 (86%), Paris morphology; LST 42/64 (65,7%); LST-G 30/64 (46,9%), 0-Is 20/64 (31,2%), JNET morphology; type 2A; 32/64 (50%), type 2B: 31/64 (48,4%).  Pathology; adenoma 33/64 (51.6%), early-stage colorectal cancer 22/64 (34.4%), high-grade dysplasia 27/64 (42.2%). Conclusion: Most polyps are adenomatous, and large sessile colorectal polyps have a very high incidence and risk of cancer.

Article Details

Keywords

Colorectal Sessile polyps, ESD, endoscopic images, histopathology

References

1. Sung, H., et al., Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin, 2021. 71(3): p. 209-249.
2. Quách Trọng Đức, Nguyễn Thị Oanh (2007). Nghiên cứu phân bố polyp tuyến đại - trực tràng theo vị trí và kích thước polyp. Y học Thành phố Hồ Chí Minh. 11(4): 242-247.
3. Park, J.H., et al., A Surveillance Endoscopy Strategy Based on Local Recurrence Rates after Colorectal Endoscopic Submucosal Dissection. J Clin Med, 2021. 10(19).
4. Ahadi M (2021). The 2019 World Health Organization Classification of appendiceal, colorectal and anal canal tumours: an update and critical assessment. Pathology, 53(4): 454-461.
5. Bedenne L (1992). Adenoma--carcinoma sequence or "de novo" carcinogenesis? A study of adenomatous remnants in a population-based series of large bowel cancers. Cancer, 69(4): 883-8.
6. Kim M.N (2011). Clinical features and prognosis of early colorectal cancer treated by endoscopic mucosal resection. J Gastroenterol Hepatol, 26(11): 1619-25.
7. Nguyễn Công Long và CS (2022). Đặc điểm lâm sàng và nội soi tổn thương polyp đại tràng phát hiện tại trung tâm nội soi tiêu hóa - gan mật bệnh viện Bạch Mai. Y Học Việt Nam. 514(2): 53-58.
8. Park J.H (2021). A Surveillance Endoscopy Strategy Based on Local Recurrence Rates after Colorectal Endoscopic Submucosal Dissection. J Clin Med, 10(19)
9. Diebold M.D (2004) Colonic flat neoplasia: frequency and concordance between endoscopic appearance and histological diagnosis in a French prospective series. Am J Gastroenterol, 99(9): 1795-800.
10. Utsumi T (2023). Sessile serrated lesions with dysplasia: is it possible to nip them in the bud?, J Gastroenterol, 58(8): 705-717.