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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Wolters Kluwer Medknow Publications
2021
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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) |
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adenoma fundic gland polyp gastric carcinoma gastric preneoplastic lesion hyperplastic polyp portal hypertensive polyps Pathology RB1-214 Microbiology QR1-502 |
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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 |
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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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1718376535429218304 |