Prophylactic colectomy for hyperplastic polyposis.

Hdl Handle:
http://hdl.handle.net/10147/135594
Title:
Prophylactic colectomy for hyperplastic polyposis.
Authors:
Doran, D; Burke, J P; Hanly, A M; Winter, D C
Affiliation:
Department of Colorectal Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Citation:
Prophylactic colectomy for hyperplastic polyposis. 2011, 180 (1):269-70 Ir J Med Sci
Journal:
Irish journal of medical science
Issue Date:
Mar-2011
URI:
http://hdl.handle.net/10147/135594
DOI:
10.1007/s11845-009-0422-5
PubMed ID:
19784713
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/19784713
Abstract:
Hyperplastic polyposis (HP) is important to recognise as it increases the risk of adenomata which may develop dysplastic change or frank adenocarcinoma. We present the case of a 58-year-old woman with HP.; Following a diagnosis of HP in this patient, it was noted that the number of polyps were progressively increasing over time, becoming pancolic and extending into the rectum. Genetic testing for a familial polypotic syndrome was negative. Histological analysis demonstrated that the majority of polyps were hyperplastic, but there were also serrated and tubular adenomata with foci of low-grade dysplasia. Whilst there was no evidence of frank malignancy or high-grade dysplasia, following a risk-benefit discussion the patient underwent a laparoscopic total colectomy with an ileal pouch formation.; This case highlights the complexity in the management of HP and that even in the absence of confirmed invasive disease, patients may elect to undergo prophylactic colonic resection.
Item Type:
Article
Language:
en
MeSH:
Colectomy; Colonic Neoplasms; Colonic Polyps; Colonic Pouches; Female; Humans; Hyperplasia; Laparoscopy; Middle Aged
ISSN:
1863-4362

Full metadata record

DC FieldValue Language
dc.contributor.authorDoran, Den
dc.contributor.authorBurke, J Pen
dc.contributor.authorHanly, A Men
dc.contributor.authorWinter, D Cen
dc.date.accessioned2011-07-07T14:56:13Z-
dc.date.available2011-07-07T14:56:13Z-
dc.date.issued2011-03-
dc.identifier.citationProphylactic colectomy for hyperplastic polyposis. 2011, 180 (1):269-70 Ir J Med Scien
dc.identifier.issn1863-4362-
dc.identifier.pmid19784713-
dc.identifier.doi10.1007/s11845-009-0422-5-
dc.identifier.urihttp://hdl.handle.net/10147/135594-
dc.description.abstractHyperplastic polyposis (HP) is important to recognise as it increases the risk of adenomata which may develop dysplastic change or frank adenocarcinoma. We present the case of a 58-year-old woman with HP.-
dc.description.abstractFollowing a diagnosis of HP in this patient, it was noted that the number of polyps were progressively increasing over time, becoming pancolic and extending into the rectum. Genetic testing for a familial polypotic syndrome was negative. Histological analysis demonstrated that the majority of polyps were hyperplastic, but there were also serrated and tubular adenomata with foci of low-grade dysplasia. Whilst there was no evidence of frank malignancy or high-grade dysplasia, following a risk-benefit discussion the patient underwent a laparoscopic total colectomy with an ileal pouch formation.-
dc.description.abstractThis case highlights the complexity in the management of HP and that even in the absence of confirmed invasive disease, patients may elect to undergo prophylactic colonic resection.-
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/19784713en
dc.subject.meshColectomy-
dc.subject.meshColonic Neoplasms-
dc.subject.meshColonic Polyps-
dc.subject.meshColonic Pouches-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshHyperplasia-
dc.subject.meshLaparoscopy-
dc.subject.meshMiddle Aged-
dc.titleProphylactic colectomy for hyperplastic polyposis.en
dc.typeArticleen
dc.contributor.departmentDepartment of Colorectal Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.en
dc.identifier.journalIrish journal of medical scienceen
dc.description.provinceLeinster-

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