Korean Journal of Gastrointestinal Endoscopy 2008;37(2): 105-111.
대장 용종의 임상적 고찰
고원욱ㆍ김종인ㆍ남주연ㆍ정정임ㆍ안진광ㆍ김광진ㆍ김형욱ㆍ박원일ㆍ양웅석
김원묵 기념 봉생병원 내과
Clinical Observation of Colorectal Polyps
Won Ook Ko, M.D., Jong In Kim, M.D., Ju Yeon Nam, M.D., Jung Im Jung, M.D., Jin Kwang An, M.D., Kwang Jin Kim, M.D., Hyung Wook Kim, M.D., Won Il Park, M.D. and Ung Suk Yang, M.D.
Department of Internal Medicine, Bong Seng Memorial Hospital, Busan, Korea
Abstract
Background/Aims: The detection and removal of colorectal polyps are important for secondary prevention of colorectal cancer. We investigated the characteristics and histopathologic finding of polyps to better plan their management. Methods: We analyzed 334 patients who underwent polypectomies for 770 colorectal polyps between October, 2005 and April, 2007 at Bong Seng Memorial Hospital. Results: Colorectal polyps were frequent in the sixth decade in both sexes. The ratio of male to female patients was 1.72:1. Abdominal pain/discomfort was the most common symptom (34.4%), and the most common site of polyp localization was the rectosigmoid colon. Histopathologic examination showed tubular adenomas (54.6%), hyperplastic polyps (36.4%), and inflammatory polyps (5.6%). Adenomatous polyps were more common in patients with multiple polyps than in patients with a single polyp. Adenomatous polyps with villous histology were more common in patients with large polyps than in patients with small polyps. Non-neoplastic polyps were common before the fifth decade. Neoplastic polyps were common past the fifth decade. Conclusions: In this study, tubular adenomas were frequently found on histopathologic examination, sessile type were frequently found on gross examination, and colorectal polyps were found principally in the rectosigmoid colon. Neoplastic polyps were more frequent in patients beyond the fifth decade. There fore colonoscopy examination is recommended for secondary prevention of colon cancer. (Korean J Gastrointest Endosc 2008;37:105-111)
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