Clinical and pathological characteristics of gastric hyperplastic polyps coexisting with gastric cancers
10.3760/cma.j.cn321463-20200102-00732
- VernacularTitle:胃增生性息肉伴癌变的临床病理特征分析
- Author:
Ruilu QIN
1
;
Guifang XU
;
Jingwen HUANG
;
Yi HE
;
Rui MENG
;
Guangyong CHEN
;
Lei WANG
Author Information
1. 南京医科大学鼓楼临床医学院消化科 210008
- From:
Chinese Journal of Digestive Endoscopy
2020;37(7):487-490
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical, endoscopic and pathologic characteristics of gastric hyperplastic polyps coexisting with gastric cancers.Methods:A retrospective study was performed involving 18 patients who were pathologically confirmed with gastric hyperplastic polyps coexisting with gastric cancers. The clinical features, endoscopic findings, pathological characteristics and treatment strategy were analyzed.Results:The age of 18 patients was 67. 2±7. 8 years (ranged 45-79), including 6 males and 12 females. The symptoms included abdominal pain, distention, and some patients were asymptomatic. Multiple polyps (13/18) were common. Single lesions were often located in the gastric corpus (7/18). Endoscopy showed various morphological changes. Pedunculated polyp was the most common type (15/18). All polyps were larger than 10 mm in diameter, and the polyps in 9 patients were larger than 20 mm. Fourteen patients had atrophic gastritis in the background mucosa, and 4 patients had Helicobacter pylori ( HP) infection. Conclusion:Gastric hyperplastic polyps coexisting with gastric cancers shows no specific symptoms. For HP (-) atrophic gastritis patients accompanied with multiple gastric polyps, malignant transformation of those larger and pedunculated polyps is of possibility.
