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乙状结肠中罕见的桥状增生性息肉。

Unusual Bridge-Shaped Hyperplastic Polyp in the Sigmoid Colon.

作者信息

Kurtkulagı Özgür, Demirer Aydemir Ferhan

机构信息

Department of General Surgery, Çanakkale Mehmet Akif Ersoy State Hospital, Çanakkale, Türkiye. (Dr. Kurtkulagı).

Faculty of Medicine, Department of Internal Medicine, Division of Intensive Care Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Türkiye. (Dr. Demirer Aydemir).

出版信息

CRSLS. 2025 Sep 4;12(3). doi: 10.4293/CRSLS.2025.00069. eCollection 2025 Jul-Sep.

DOI:10.4293/CRSLS.2025.00069
PMID:40919058
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12410830/
Abstract

We present a rare morphological variant of a colonic polyp observed during a routine screening colonoscopy. A 62-year-old male with known chronic obstructive pulmonary disease (COPD) and benign prostatic hyperplasia (BPH) was found to have a bridge-shaped polyp in the sigmoid colon. The polyp was successfully resected via snare polypectomy following submucosal adrenaline injection. Histopathological analysis revealed the lesion to be a hyperplastic polyp. To our knowledge, bridge- or horseshoe-shaped hyperplastic polyps have not been previously reported in the literature.

摘要

我们展示了在常规结肠镜筛查中观察到的一种罕见的结肠息肉形态学变异。一名62岁男性,患有慢性阻塞性肺疾病(COPD)和良性前列腺增生(BPH),在乙状结肠发现了一个桥形息肉。在黏膜下注射肾上腺素后,通过圈套息肉切除术成功切除了该息肉。组织病理学分析显示该病变为增生性息肉。据我们所知,桥形或马蹄形增生性息肉此前在文献中尚未见报道。

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本文引用的文献

1
Pseudopolyps in inflammatory bowel diseases: Have we learned enough?炎症性肠病中的假息肉:我们了解得够多了吗?
World J Gastroenterol. 2017 Mar 7;23(9):1541-1551. doi: 10.3748/wjg.v23.i9.1541.
2
Serrated lesions of the colorectum: review and recommendations from an expert panel.结直肠锯齿状病变:专家小组的综述和建议。
Am J Gastroenterol. 2012 Sep;107(9):1315-29; quiz 1314, 1330. doi: 10.1038/ajg.2012.161. Epub 2012 Jun 19.
3
Hyperplastic Polyposis Syndrome Identified with a BRAF Mutation.伴有 BRAF 突变的增生性息肉综合征。
Gut Liver. 2012 Apr;6(2):280-3. doi: 10.5009/gnl.2012.6.2.280. Epub 2012 Apr 17.
4
Obstructing giant post-inflammatory polyposis in ulcerative colitis: Case report and review of the literature.溃疡性结肠炎并发阻塞性巨炎症性息肉 1 例报告并文献复习
J Crohns Colitis. 2008 Jun;2(2):170-80. doi: 10.1016/j.crohns.2007.10.007. Epub 2008 Jan 28.
5
Update on the serrated pathway to colorectal carcinoma.结直肠肿瘤锯齿状途径研究进展。
Hum Pathol. 2011 Jan;42(1):1-10. doi: 10.1016/j.humpath.2010.06.002. Epub 2010 Sep 24.
6
Prolapsing mucosal polyps: an underrecognized form of colonic polyp--a clinicopathological study of 15 cases.脱垂性黏膜息肉:一种未被充分认识的结肠息肉形式——15例临床病理研究
Am J Gastroenterol. 2002 Feb;97(2):370-6. doi: 10.1111/j.1572-0241.2002.05472.x.