CHARACTERISTICS OF COLORECTAL POLYPS LESS 10 – 19 MM IN SIZE

Đức Tiến Đào, Trung Kiên Doãn, Ngọc Cường Nguyễn

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Abstract

Objectives: To describe the endoscopic image and histopathological characteristics of colorectal polyps 10 – 19 mm in size and the relationship between histopathology and some factors. Materials and methods: Cross-sectional study on 98 patients with colorectal polyps 10 – 19 mm in size, treated Military Hospital 175, from January 2022 until December 2023. The histopathological diagnosis of colorectal polyps was based on the standards of the World Health Organization in 2019. Results: The average age of patients was 58,2 ± 10,3. The male/female ratio was 4.99/1. Distal colon polyps accounted for a higher proportion than proximal colon polyps (74.4% versus 25.6%), in which sigmoid colon polyps (46.9%), rectal polyps (14.3 %), descending colon polyps (12.2%). 48.0% of polyps were sessile. The rate of adenocarcinoma and tubulovillous adenoma were 6.1% and 11.2%. The high-grade dysplasia rate of neoplastic polyps was 6.6%. The rate of colorectal adenocarcinoma in the group of patients ≥ 60 years old was higher than that of the group of patients under 60 years old, higher in women than in men, the difference was statistically significant (with p < 0.05). There was no relationship between histopathology and location, morphology and surface characteristics of polyps 10 - 19 mm in size.  Conclusion: The rate of colorectal polyps 10 - 19 mm in size was 6.1%. The rate of malignant polyps increased with advancing age, was higher in women and there was no relationship between malignant polyp rate with polyp location, morphology and surface characteristics on endoscopy.

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References

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