Polyps


Also found in: Dictionary, Thesaurus, Encyclopedia.

polyp

An elevated 'tumor' mass, which is usually epithelial, and often neoplastic; polyps are common in the colon, ♀ genital tract, nasopharynx, stomach See Bladder polyp, Cervical polyp, Colon polyp, Hairy polyp, Inflammatory polyp, Inflammatory fibroid polyp, Juvenile polyp, Pseudopolyp, Retention polyp.
Polyps
Colon Colonic polyps are usually epithelial, and are acquired or hereditary
Acquired polyps Adenomatous (tubular or villous) in morphology, ↑ frequency with age; although often asymptomatic, larger polyps are often announced by bleeding, or changed bowel habits; if really large, APs may form a leading 'front' of an intussusception; distinction between adenomatous polyps ('tight' round glands) and villous adenomas (finger-like fronds of elongated glands) has little practical importance–both have malignant potential; periodic colonoscopy and polypectomy yields a 3-fold ↓ in subsequent cancer; hyperplastic polyps are also acquired but are non-neoplastic
Hereditary polyps are epithelial and may overlap with each other
Familial adenomatous polyposis (FAP) A premalignant, AD MIM 175100 condition presenting in early adulthood with 100s to 1000s of colonic polyps, related to a loss of the normal repression of DNA synthesis in the entire colonic epithelium; adenocarcinoma occurs in 70–100% of Pts, prevented by prophylactic colectomy
Gardner syndrome A rare AD MIM 175100 condition with premalignant polyps of the entire GI tract, which is identical to FAP, but has, in addition, extraintestinal tumors; most Pts develop colon carcinoma; other neoplasms in GS Pts include bile duct carcinoma, osteomas of the mandible, skull, and long bones, soft tissue tumors (fibromas, lipomas), sebaceous cysts, and rarely, thyroid and adrenal gland cancers
Turcott syndrome A rare AR MIM 276300 condition associated with brain tumors, eg medulloblastoma, glioblastoma
Other colon polyps Hamartomas, hyperplastic polyps, juvenile and retention polyps–little neoplastic potential
Turcott syndrome A non-hereditary condition characterized by diffuse GI polyposis, accompanied by alopecia, nail atrophy, cutaneous hyperpigmentation, weight loss, protein-losing enteropathy, electrolyte imbalance and malnutrition
Peutz-Jeghers syndrome An AD MIM 175200 condition with hamartomas of the entire GI tract, predominantly of the small intestine, focal Paneth cell hyperplasia, melanin spots in buccal mucosa, lips, and digits, intussusception and bleeding; colonic adenocarcinomas, when seen in PJS, arise in adenomatous and not in hamartomatous polyps; PJS may be associated with Sertoli cell tumor with annular tubules, see SCTAT.
Female urogenital tract Endometrial and endocervical polyps are circumscribed foci of cystic glandular hyperplasia of the mucosa and may cause abnormal bleeding; carcinoma arising in such polyps is rare; when smooth muscle is also present, they are designated as adenomatous polyps DiffDx Polypoid smooth muscle tumors, benign and malignant. See Müllerian mixed tumor.
Nasopharynx Nasal polyps Inflammatory ('allergic') polyps of the nasal cavity are not neoplastic, but rather reactive to inflammation or allergy; unlike true polyps, nasal polyps display edema and chronic inflammation (eosinophils, plasma cells, and lymphocytes), are bilateral, recurrent, and intranasal
Skin Squamous polyps and fibroepithelial polyps or 'skin tags' are benign prolapses of upper dermis onto the skin surface, which have no neoplastic potential
Stomach polyp Gastric polyp It is often (incorrectly) assumed that colon polyps are analogous to gastric polyps; hyperplastic polyps (type I and II polyps by Japanese authors) comprise 75% of all gastric polyps; they are neoplastic, but are usually benign  

Polyps

A tumor with a small flap that attaches itself to the wall of various vascular organs such as the nose, uterus and rectum. Polyps bleed easily, and if they are suspected to be cancerous they should be surgically removed.

Patient discussion about Polyps

Q. Blood in stools before and after polyp removel, Avms of the deodenel loop, inside hems, and 3cin tubuo adenoma Hi, On Nov of 06 I had a colonoscopy done and they didnt find any thing that could be mking me bleed and go to the rest room often. Then in Nov of 07 did a EDg and found I have AVMs of the deodenel loop.She Burned them and I didnt have any more bleeding till June of thei yr.On 6/6/08 i had another EDg done she burned more AVMs and on Mon I started bleeding again. This time she did a colonoscopy and found I had inside hems and a 3cin tubuolvillous adenoma inflamed.She cut, burned, and took it out in peices.She saye she will go back in Nov of this yr and look again. Two weeks after I had this done I had started to bleed again and had bad such bad pain in my hip I had to hold on to walk. that same day i started to bleed again. I bled out big clots and a bowl full of blood! A few days later the pain went away but was still bleeding ever time I had bowl movement!I can bleed up to 4 days at a times sometimes. I have been taking HC supp. and it seems to have stoped the bleeding and pain!

A. It is normal that after a polyp removal you will continue bleeding some more. However, if you feel like there is a lot of bleeding, and/or you are not feeling well, you should see a doctor as soon as possible to stop the bleeding or look for the source of bleeding.

More discussions about Polyps
References in periodicals archive ?
Overall, 306 polyps were assessed real-time by using the AI-assisted system, providing a sensitivity of 94%, specificity of 79%, accuracy of 86%, and positive and negative predictive values of 79% and 93% respectively, in identifying neoplastic changes.
Among the tissue components of the lymphangiomatous polyps, the stalk might be responsible for this symptom because it has vascular formations and loose fibrous tissues inside of it.
Conclusion: Age above 60 years, solitary polyps larger than 1 cm, and sessile morphology are associated with an increased risk of neoplasia in GBP.
Polyps are considered a disease that requires surgical treatment.
sup][1] The accuracy of diagnosis is determined by the presence of histopathologically confirmed hamartomatous polyps and two following clinical criteria: family history, hyperpigmentation, and polyps in the small bowel.
Endometrial polyps were diagnosed on ultrasonography in 88 cases which were included in the study.
Lane and Lev (8) in 1963 seem to be the first or among the first in the United States to call polyps "hyperplastic" to distinguish them from adenomas.
3) Several recent review articles focus on fibroepithelial polyps in children.
Corticosteroid nose drops or nasal sprays to shrink the polyps, corticosteroid tablets to shrink any larger or more troublesome polyps quickly, and surgery to remove larger polyps using tiny surgical instruments which are inserted up your nostrils.
Many pathological masses in the nose may look like antrochoanal polyp, for example dermoid cysts, meningoencephaloceles, teratomae or sphenochoanal polyps [8].