Clinicopathologic comparison of eroded polypoid hyperplasia and solitary rectal ulcer syndrome.
10.3346/jkms.1994.9.4.319
- Author:
Nam Hoon CHO
1
;
Chan Il PARK
;
Hee Jeong AHN
Author Information
1. Department of Pathology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Reports ; Comparative Study
- Keywords:
Mucosal prolapse syndrome;
eroded polypoid hyperplasia;
solitary rectal ulcer syndrome;
rectosigmoid colon
- MeSH:
Adult;
Aged;
Case Report;
Colonic Polyps/*pathology;
Comparative Study;
Female;
Human;
Hyperplasia;
Intestinal Mucosa/*pathology;
Male;
Manometry;
Middle Age;
Rectal Diseases/*pathology;
Rectum/*pathology;
Sigmoid/*pathology;
Syndrome;
Ulcer/pathology
- From:Journal of Korean Medical Science
1994;9(4):319-327
- CountryRepublic of Korea
- Language:English
-
Abstract:
We experienced two unusual cases of tumor-like polypoid lesions involving the rectosigmoid colon. They could not be readily classified into any well known polypoid tumors of the rectosigmoid colon, but appeared to have some similarities to the previously documented "eroded polypoid hyperplasia (EPH)". A collective review of our seven cases of solitary rectal ulcer syndrome (SRUS), which proved to be due to paradoxically over-reactive muscle tone of the puborectalis, was performed, and clinicopathologic comparisons between EPH and SRUS were carried out. They shared histopathologic characteristics such as vascular congestion, crypt hyperplasia, and eroded surface, but they were different from each other in clinical symptoms, location of lesions and gross features. Furthermore, in one EPH case there was an altered much profile which was similar to that seen in SRUS and complete rectal prolapse. Conceivably, the pathological features of both EPH and SRUS were thought to have a possible connection with mucosal prolapse syndrome (MPS). Considering that MPS is a group of diseases encompassing SRUS and the related disorders of the colorectum and the anus, it is speculated that EPH of the rectosigmoid colon might be the proximal analogue of SRUS, a mucosal prolapse of the more distal colon.
