Polyp (medicine)

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{{#if: Polyp.jpeg| {{#if: Polyp of sigmoid colon as revealed by colonoscopy. Approximately 1 cm in diameter. The polyp was removed by snare cautery| {{#if: K63.5 & various| {{#if: | {{#if: | {{#if: | {{#if: | {{#if: 000266| {{#if: med| {{#if: | {{#if: Polyp|
Colon polyps
Classification & external resources
}}
Polyp of sigmoid colon as revealed by colonoscopy. Approximately 1 cm in diameter. The polyp was removed by snare cautery}}
ICD-10 K63.5 & various}}
ICD-9 }}
ICD-O: }}
OMIM [4] }}
DiseasesDB [5] }}
MedlinePlus 000266 }}
eMedicine search | topic list | med/414 }} }}
MeSH {{{MeshID}}} }}
MeSH C23.300.825}}

A polyp is an abnormal growth of tissue (tumor) projecting from a mucous membrane. If it is attached to the surface by a narrow elongated stalk it is said to be pedunculated. If no stalk is present it is said to be sessile. Polyps are commonly found in the colon, stomach, nose, sinus(es), urinary bladder and uterus. They may also occur elsewhere in the body where mucous membranes exist like the cervix[1] and small intestine.

Contents

Colorectal polyp

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Colon polyps are uncommonly associated with symptoms. Occasionally rectal bleeding, and on rare occasions pain, diarrhea or constipation may occur because of colon polyps. Colon polyps are a concern because of the potential for colon cancer being present microscopically and the risk of benign colon polyps transforming with time into colon cancer. Since most polyps are asymptomatic, they are usually discovered at the time of colon cancer screening with either digital rectal exam (DRE), flexible sigmoidoscopy, Barium enema, colonoscopy or virtual colonoscopy. The polyps are routinely removed at the time of colonoscopy either with a polypectomy snare (P.Deyhle, 1970) or with biopsy forceps. If an adenomatous polyp is found with flexible sigmoidoscopy or if a polyp is found with any other diagnostic modality, the patient must undergo colonoscopy for removal of the polyp(s). Even though colon cancer is usually not found in polyps smaller than 2.5 cm, all polyps found are removed since the removal of polyps reduces the future likelihood of developing colon cancer. When adenomatous polyps are removed, a repeat colonoscopy is usually performed in three to five years.

Most colon polyps can be categorized as sporadic.

Inherited Polyposis Syndromes

Non-inherited Polyposis Syndromes

Types of colon polyps

Endometrial polyp

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An endometrial polyp or uterine polyp is a polyp or lesion in the lining of the uterus (endometrium) that takes up space within the uterine cavity. Commonly occurring, they are experienced by up to 10% of women.[2] They may have a large flat base (sessile) or be attached to the uterus by an elongated pedicle (pedunculated).[2][3] Pedunculated polyps are more common that sessile ones.[4] They range in size from a few millimeters to several centimeters.[3] If pedunculated, they can protrude through the cervix into the vagina.[2][5] Small blood vessels may be present in polyps, particularly large ones.[2]

Cervical polyp

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A cervical polyp is a common benign polyp or tumour on the surface of the cervical canal.[6] They can cause irregular menstrual bleeding but often show no symptoms.[2] Treatment consists of simple removal of the polyp and prognosis is generally good.[7] About 1% of cervical polyps will show neoplastic change which may lead to cancer.[8] They are most common in post-menstrual, pre-menopausal women who have given birth.[9]

Nasal polyp

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Footnotes

  1. {{ #if: Weschler | {{ #if: | [[{{{authorlink}}}|{{ #if: Weschler | Weschler{{ #if: Toni | , Toni }} | {{{author}}} }}]] | {{ #if: Weschler | Weschler{{ #if: Toni | , Toni }} | {{{author}}} }} }} }}{{ #if: Weschler | {{ #if: | ; {{{coauthors}}} }} }}{{ #if: | [{{{origdate}}}] | {{ #if: | {{ #if: | [{{{origmonth}}} {{{origyear}}}] | [{{{origyear}}}] }} }} }}{{ #if: | ({{{date}}}) | {{ #if: 2002 | {{ #if: | ({{{month}}} 2002) | (2002) }} }} }}{{ #if: Weschler | . }}{{ #if: | "{{ #if: | [{{{chapterurl}}} {{{chapter}}}] | {{{chapter}}} }}",}}{{ #if: | in {{{editor}}}: }} {{ #if: | [{{{url}}} Taking Charge of Your Fertility] | Taking Charge of Your Fertility }}{{ #if: | ({{{format}}}) }}{{ #if: | , {{{others}}} }}{{ #if: Revised Edition | , Revised Edition }}{{ #if: | , {{{series}}} }}{{ #if: | (in {{{language}}}) }}{{ #if: HarperCollins | {{#if: Revised Edition | , | . }}{{ #if: New York | New York: }}HarperCollins }}{{ #if: pp.227-228,330 | , pp.227-228,330 }}{{ #if: | . DOI:{{{doi}}} }}{{ #if: ISBN 0-06-093764-5 | . ISBN 0-06-093764-5 }}{{ #if: | . ISBN {{{isbn}}} }}{{ #if: | . OCLC {{{oclc}}} }}{{ #if: | {{ #if: | . Retrieved on [[{{{accessdate}}}]] | {{ #if: | . Retrieved {{ #if: | on [[{{{accessmonth}}} {{{accessyear}}}]] | during [[{{{accessyear}}}]] }}}} }} }}.{{ #if: |  “{{{quote}}}” }} 
  2. 2.0 2.1 2.2 2.3 2.4 {{ #if: Bates | {{ #if: | [[{{{authorlink}}}|{{ #if: Bates | Bates{{ #if: Jane | , Jane }} | {{{author}}} }}]] | {{ #if: Bates | Bates{{ #if: Jane | , Jane }} | {{{author}}} }} }} }}{{ #if: Bates | {{ #if: | ; {{{coauthors}}} }} }}{{ #if: | [{{{origdate}}}] | {{ #if: | {{ #if: | [{{{origmonth}}} {{{origyear}}}] | [{{{origyear}}}] }} }} }}{{ #if: 2007 | (2007) | {{ #if: | {{ #if: | ({{{month}}} {{{year}}}) | ({{{year}}}) }} }} }}{{ #if: Bates | . }}{{ #if: | "{{ #if: | [{{{chapterurl}}} {{{chapter}}}] | {{{chapter}}} }}",}}{{ #if: | in {{{editor}}}: }} {{ #if: http://www.google.co.uk/books?id=oZ3RYlRAoxgC&pg=PP1&d | Practical Gynaecological Ultrasound | Practical Gynaecological Ultrasound }}{{ #if: | ({{{format}}}) }}{{ #if: | , {{{others}}} }}{{ #if: | , {{{edition}}} }}{{ #if: | , {{{series}}} }}{{ #if: | (in {{{language}}}) }}{{ #if: Cambridge University Press | {{#if: | , | . }}{{ #if: | {{{location}}}: }}Cambridge University Press }}{{ #if: 65 | , 65 }}{{ #if: | . DOI:{{{doi}}} }}{{ #if: | . {{{id}}} }}{{ #if: 1900151510 | . ISBN 1900151510 }}{{ #if: | . OCLC {{{oclc}}} }}{{ #if: http://www.google.co.uk/books?id=oZ3RYlRAoxgC&pg=PP1&d | {{ #if: | . Retrieved on [[{{{accessdate}}}]] | {{ #if: | . Retrieved {{ #if: | on [[{{{accessmonth}}} {{{accessyear}}}]] | during [[{{{accessyear}}}]] }}}} }} }}.{{ #if: |  “{{{quote}}}” }} 
  3. 3.0 3.1 {{
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  5. {{
    1. if: {{#if: http://www.merck.com/mmpe/sec18/ch244/ch244d.html | {{#if: Dysmenorrhea: Menstrual abnormalities |1}}}}
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  6. {{ #if: Boon | {{ #if: | [[{{{authorlink}}}|{{ #if: Boon | Boon{{ #if: Mathilde E. | , Mathilde E. }} | {{{author}}} }}]] | {{ #if: Boon | Boon{{ #if: Mathilde E. | , Mathilde E. }} | {{{author}}} }} }} }}{{ #if: Boon | {{ #if: Albert J. H. Suurmeijer | ; Albert J. H. Suurmeijer }} }}{{ #if: | [{{{origdate}}}] | {{ #if: | {{ #if: | [{{{origmonth}}} {{{origyear}}}] | [{{{origyear}}}] }} }} }}{{ #if: 1996 | (1996) | {{ #if: | {{ #if: | ({{{month}}} {{{year}}}) | ({{{year}}}) }} }} }}{{ #if: Boon | . }}{{ #if: | "{{ #if: | [{{{chapterurl}}} {{{chapter}}}] | {{{chapter}}} }}",}}{{ #if: | in {{{editor}}}: }} {{ #if: http://books.google.com/books?id=umcl4R3sp2AC&pg=PA87&d | The Pap Smear | The Pap Smear }}{{ #if: | ({{{format}}}) }}{{ #if: | , {{{others}}} }}{{ #if: | , {{{edition}}} }}{{ #if: | , {{{series}}} }}{{ #if: | (in {{{language}}}) }}{{ #if: Taylor & Francis | {{#if: | , | . }}{{ #if: | {{{location}}}: }}Taylor & Francis }}{{ #if: 87 | , 87 }}{{ #if: | . DOI:{{{doi}}} }}{{ #if: | . {{{id}}} }}{{ #if: 3718658577 | . ISBN 3718658577 }}{{ #if: | . OCLC {{{oclc}}} }}{{ #if: http://books.google.com/books?id=umcl4R3sp2AC&pg=PA87&d | {{ #if: | . Retrieved on [[{{{accessdate}}}]] | {{ #if: | . Retrieved {{ #if: | on [[{{{accessmonth}}} {{{accessyear}}}]] | during [[{{{accessyear}}}]] }}}} }} }}.{{ #if: |  “{{{quote}}}” }} 
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External links

{{#if:|}}{{#if:Esophagitis - GERD - Achalasia - Boerhaave syndrome - Nutcracker esophagus - Zenker's diverticulum - Mallory-Weiss syndrome - Barrett's esophagus|{{#if:|{{#ifeq:{{#if:EsophagusStomach/
duodenumHerniaNoninfective enteritis and colitisOther intestinalLiver/hepatitisAccessory digestiveOther/general|false|true}}|true|}}}}{{#if:Esophagus|}}{{#if:|}}}}{{#if:Peptic (gastric/duodenal) ulcer - Gastritis - Gastroenteritis - Duodenitis - Dyspepsia - Pyloric stenosis - Achlorhydria - Gastroparesis - Gastroptosis - Portal hypertensive gastropathy|{{#if:Stomach/
duodenum|}}}}{{#if:Inguinal (Indirect, Direct) - Femoral - Umbilical - Incisional - Diaphragmatic - Hiatus|{{#if:Hernia|}}}}{{#if:IBD (Crohn'sUlcerative colitis) - noninfective gastroenteritis|{{#if:Noninfective enteritis and colitis|}}}}{{#if:vascular (Abdominal angina, Mesenteric ischemia, Ischemic colitis, Angiodysplasia) - Ileus/Bowel obstruction (Intussusception, Volvulus) - Diverticulitis/Diverticulosis - IBS
other functional intestinal disorders (Constipation, Diarrhea, Megacolon/Toxic megacolon, Proctalgia fugax) - Anal fissure/Anal fistula - Anal abscess - Rectal prolapse - Proctitis (Radiation proctitis)|{{#if:Other intestinal|}}}}{{#if:Alcoholic liver disease - Liver failure (Acute liver failure) - Cirrhosis - PBC - NASH - Fatty liver - Peliosis hepatis - Portal hypertension - Hepatorenal syndrome|{{#if:Liver/hepatitis|}}}}{{#if:Gallbladder (Gallstones, Choledocholithiasis, Cholecystitis, Cholesterolosis, Rokitansky-Aschoff sinuses)

Biliary tree (Cholangitis, Cholestasis/Mirizzi's syndrome, PSC, Biliary fistula, Ascending cholangitis)

Pancreas (Acute pancreatitis, Chronic pancreatitis, Pancreatic pseudocyst, Hereditary pancreatitis)|{{#if:Accessory digestive|}}}}{{#if:Appendicitis - Peritonitis (Spontaneous bacterial peritonitis) Malabsorption (celiac, Tropical sprue, Blind loop syndrome, Whipple's) postprocedural:Gastric dumping syndrome - Postcholecystectomy syndromebleeding:Hematemesis - Melena - Gastrointestinal bleeding (Upper, Lower)|{{#if:Other/general|}}}}{{#if:See also congenital|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|}}]] {{#if:|}}{{#if:Hyperplasia - Cyst - Pseudocyst - Hamartoma - Benign tumor|{{#if:|{{#ifeq:{{#if:Benign tumorsMalignant progressionTopographyMisc.|false|true}}|true|}}}}{{#if:Benign tumors|}}{{#if:|}}}}{{#if:Dysplasia - Carcinoma in situ - Cancer - Metastasis|{{#if:Malignant progression|}}}}{{#if:lip, oral cavity and pharynx:Oral - Head/Neck - Nasopharyngeal

digestive system: tract (Esophagus, Stomach, Small intestine, Colon/rectum, Appendix, Anus) - glands (Liver, Bile duct, Gallbladder, Pancreas)

respiratory system: Larynx - Lung

bone, articular cartilage, skin, and connective tissue: Bone - Skin - Blood

urogenital: breast and female genital organs (Breast, Vagina, Cervix, Uterus, Endometrium, Ovaries) - male genital organs (Penis, Prostate, Testicles) - urinary organs (Kidney, Bladder)

nervous system: Eye - Brain

endocrine system:Thyroid (Papillary, Follicular, Medullary, Anaplastic) - Adrenal tumor (Adrenocortical carcinoma, Pheochromocytoma) - Pituitary|{{#if:Topography|}}}}{{#if:Tumor suppressor genes/oncogenes - Staging/grading - Carcinogenesis - Carcinogen - Research - Paraneoplastic syndrome - List of oncology-related terms|{{#if:Misc.|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|{{#if:|}}}}{{#if:|}}Template:Med-stub

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