Kolorektal Poliplerin Genel Özellikleri; Tek Merkez Sonuçları

Yıl 2019, Cilt: 11 Sayı: 3, 142 - 153, 29.06.2020

Ayşe Kefeli Ali Akın Ayşe Kevser Demir

Öz

Amaç: Kolorektal kanserlerin büyük çoğunluğunun kolon poliplerinden geliştiği kanıtlanmıştır. Bu nedenle kolon poliplerinin erken tespit tedavisi önem arz etmektedir. Bu yazıda kliniğimizde yapılan kolonoskopide tespit edilen poliplerin genel özelliklerini sunmayı amaçladık.
Gereç ve Yöntem: Tokat Gaziosmanpaşa Üniversitesi Sağlık Araştırma Ve Uygulama Merkezi Merkezi Hastanesi Gastroenteroloji bölümünde kolonoskopi yapılan784 adet gastrointestinal polip olgusu retrospektif olarak incelendi, çalışma kriterlerini sağlayan 217 hasta çalışmaya alındı. Yerleşim özellikleri ve histopatolojik tiplerine göre polipler sınıflandırıldı.
Bulgular: Polip tespit edilen hastaların % 65,9’u erkek, %34,1’i kadındı. Polipler %20,7 oranında en sık rektumda, en az %0,5 oranında splenik flexura yerleşimliydi. Olguların %83,9’unda (179 hasta) polipler sadece tek lokalizasyonda iken birden fazla lokalizasyonda polip bulunma oranı %16,1(38 hasta) olarak saptanmıştır. Histopatolojik olarak poliplerin %61,7’iadenomatöz, %33,2’sihiperplastik, %0,5’i adenokanser, geri kalan sıklık sırasına göre hamartamatoz, inflamatuar ve sesil polip olarak saptanmıştır. Adenomatöz polipler alt tiplerine göre %53,9 tübüler, %6,9 tübülovillöz %0,9 villöz tip olarak rapor edilmiştir.
Sonuç: Kolorektal poliplerin sıklıkla rektosigmoid bölgede yerleştiği yaklaşık olarak üçte ikisi adenamatöz, üçte birinin hiperplastik karakterde olduğu tespit edilmiştir.

Anahtar Kelimeler

Kolorektal kanserler, adenomatöz polip, saplı ve sapsız polip

General Properties of Colorectal Polyps; Single Center Results

Öz

Background/Aims:Colorectal cancers are the most common gastrointestinal malignancies. It is the third most common cancer in the World and one of the majör causes of cancer-related mortality in developed countries. The incidence and mortality of colorectal carcinoma is markedly different worldwide. Gastrointestinal polyps are lesions that may have proliferative and neoplastic potential, forming a mass by protruding into the lumen. In this study, it was aimed to document the general properties of the colorectal polyps which were diagnosed in colonoscopy scans in our center.

Material and Methods: A total of 784 patients with gastrointestinal polyps who underwent colonoscopy in the Department of Gastroenterology, Tokat Gaziosmanpaşa University Health Researchand Application Center Hospital, were reviewed retrospectively and 217 patients were included in the study. Polyps were classified according to their histopathological types and location.

Results: Patients with polyps; 65,9% male and 34,1% female. Polyps were most frequently 20.7% in rectum and at least 0.5% in splenic flexura. In 83.9% (179 patients) of the cases, polyps were found to be only localized in a single location, while polyps were found to be morethan 16.1% (38 patients). Histopathologically, the polyps were 61.7% adenomatous, 33.2% hyperplastic, 0.5% adenocarcinoma, andthe rest were hamartamatosis, inflammatory and acoustic polyps respectively. Adenomatous polyps were reported as 53.9% tubularand 6.9% tubulovillous 0.9% villous type according to their subtypes.

Conclusion:In our study, we evaluated polyps of the lower gastrointestinal system and it wasf ound that our results were generally compatible with the literature.

Anahtar Kelimeler

Colorectalcancers, adenomatous polyps, sessile serratedpolyps

Kaynakça

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