Histomorphological analysis of gastric polyps

Introduction: Incidence of gastric carcinoma and gastric polyps is on rise all over the world. Chronic atrophic gastritis to intestinal metaplasia progressing to adenocarcinoma has been documented pathway for gastric carcinogenesis. Another pathway for gastric carcinoma is adenoma carcinoma sequence...

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Autores principales: Anjali D Amarapurkar, Kshitija M Kale, Leena P Naik, Akash P Shukla
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Publicado: Wolters Kluwer Medknow Publications 2021
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Acceso en línea:https://doaj.org/article/f8dd9d04a6c6451186448983362bf687
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spelling oai:doaj.org-article:f8dd9d04a6c6451186448983362bf6872021-12-02T19:27:26ZHistomorphological analysis of gastric polyps0377-492910.4103/IJPM.IJPM_118_20https://doaj.org/article/f8dd9d04a6c6451186448983362bf6872021-01-01T00:00:00Zhttp://www.ijpmonline.org/article.asp?issn=0377-4929;year=2021;volume=64;issue=5;spage=69;epage=72;aulast=Amarapurkarhttps://doaj.org/toc/0377-4929Introduction: Incidence of gastric carcinoma and gastric polyps is on rise all over the world. Chronic atrophic gastritis to intestinal metaplasia progressing to adenocarcinoma has been documented pathway for gastric carcinogenesis. Another pathway for gastric carcinoma is adenoma carcinoma sequence similar to colon cancer. Aim: To study prevalence, endoscopic, and histomorphological features of gastric polyps. Methods and Material: This was retrospective analysis of gastric polyps from 2012 to 2019 in consecutive 10,800 upper gastrointestinal endoscopies. Demographic, endoscopic, and histopathological data were obtained from hospital records. All gastric polyps were classified as per standard histologic criteria. Additional histological features noted were presence of dysplasia, focus of adenoma, or malignancy. Results: The prevalence of gastric polyps was 434 (4%) of 10,800 upper gastrointestinal endoscopies. Majority of polyps were found in the last 4 years (277: 63.8%). Mean age was 55.4 years with male to female ratio 1:1.2. Most of the polyps (94.9%) were less than 1 cm, located in gastric antrum. Multiple polyps were seen in 20.9% cases. On histopathology, fundic gland polyps were most common (147: 33.8%), followed by hyperplastic (128: 29.4%) polyps. Adenomatous polyps were nine (2%); of these, two cases of hyperplastic polyps and one each of fundic gland polyp and benign epithelial polyp showed adenomatous foci. Conclusion: Fundic gland polyps were the most common polyps. With rising incidence of gastric carcinoma, identification of gastric polyps on endoscopy with biopsy can prevent progression to carcinogenesis.Anjali D AmarapurkarKshitija M KaleLeena P NaikAkash P ShuklaWolters Kluwer Medknow Publicationsarticleadenomafundic gland polypgastric carcinomagastric preneoplastic lesionhyperplastic polypportal hypertensive polypsPathologyRB1-214MicrobiologyQR1-502ENIndian Journal of Pathology and Microbiology, Vol 64, Iss 5, Pp 69-72 (2021)
institution DOAJ
collection DOAJ
language EN
topic adenoma
fundic gland polyp
gastric carcinoma
gastric preneoplastic lesion
hyperplastic polyp
portal hypertensive polyps
Pathology
RB1-214
Microbiology
QR1-502
spellingShingle adenoma
fundic gland polyp
gastric carcinoma
gastric preneoplastic lesion
hyperplastic polyp
portal hypertensive polyps
Pathology
RB1-214
Microbiology
QR1-502
Anjali D Amarapurkar
Kshitija M Kale
Leena P Naik
Akash P Shukla
Histomorphological analysis of gastric polyps
description Introduction: Incidence of gastric carcinoma and gastric polyps is on rise all over the world. Chronic atrophic gastritis to intestinal metaplasia progressing to adenocarcinoma has been documented pathway for gastric carcinogenesis. Another pathway for gastric carcinoma is adenoma carcinoma sequence similar to colon cancer. Aim: To study prevalence, endoscopic, and histomorphological features of gastric polyps. Methods and Material: This was retrospective analysis of gastric polyps from 2012 to 2019 in consecutive 10,800 upper gastrointestinal endoscopies. Demographic, endoscopic, and histopathological data were obtained from hospital records. All gastric polyps were classified as per standard histologic criteria. Additional histological features noted were presence of dysplasia, focus of adenoma, or malignancy. Results: The prevalence of gastric polyps was 434 (4%) of 10,800 upper gastrointestinal endoscopies. Majority of polyps were found in the last 4 years (277: 63.8%). Mean age was 55.4 years with male to female ratio 1:1.2. Most of the polyps (94.9%) were less than 1 cm, located in gastric antrum. Multiple polyps were seen in 20.9% cases. On histopathology, fundic gland polyps were most common (147: 33.8%), followed by hyperplastic (128: 29.4%) polyps. Adenomatous polyps were nine (2%); of these, two cases of hyperplastic polyps and one each of fundic gland polyp and benign epithelial polyp showed adenomatous foci. Conclusion: Fundic gland polyps were the most common polyps. With rising incidence of gastric carcinoma, identification of gastric polyps on endoscopy with biopsy can prevent progression to carcinogenesis.
format article
author Anjali D Amarapurkar
Kshitija M Kale
Leena P Naik
Akash P Shukla
author_facet Anjali D Amarapurkar
Kshitija M Kale
Leena P Naik
Akash P Shukla
author_sort Anjali D Amarapurkar
title Histomorphological analysis of gastric polyps
title_short Histomorphological analysis of gastric polyps
title_full Histomorphological analysis of gastric polyps
title_fullStr Histomorphological analysis of gastric polyps
title_full_unstemmed Histomorphological analysis of gastric polyps
title_sort histomorphological analysis of gastric polyps
publisher Wolters Kluwer Medknow Publications
publishDate 2021
url https://doaj.org/article/f8dd9d04a6c6451186448983362bf687
work_keys_str_mv AT anjalidamarapurkar histomorphologicalanalysisofgastricpolyps
AT kshitijamkale histomorphologicalanalysisofgastricpolyps
AT leenapnaik histomorphologicalanalysisofgastricpolyps
AT akashpshukla histomorphologicalanalysisofgastricpolyps
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