AI Article Synopsis
- Hyperplastic polyps are common findings during colonoscopy and generally have a low risk of cancer, but guidelines suggest that most polyps should be removed, with exceptions for certain small ones.
- A unique case involved the discovery of a duodenal-type follicular lymphoma in a 5 mm polyp that looked hyperplastic, which later spread to the stomach and duodenum after four months.
- The case highlights the need for caution in optical diagnosis and the use of a "resect and discard" strategy, as this situation has not been previously documented in medical literature.
Article Abstract
Hyperplastic polyps consist a very frequent finding in colonoscopy having a very low potential to malignancy. According to the international guidelines, it is recommended that all polyps should be resected except for diminutive (≤ 5 mm) rectal and rectosigmoid polyps which are predicted with confidence to be hyperplastic. Therefore, in departments where optical diagnosis can be ensured, a "resect and discard" strategy may be implemented for diminutive polyps. In our case, a duodenal-type follicular lymphoma was detected in a 5 mm rectum polyp with hyperplastic appearance. After 4 months, the lymphoma was detected also in stomach and duodenum. Under therapy with Rituximab, she is in remission. To our knowledge, there has never been reported such a case in the literature. Furthermore, it alerts us that we should be very cautious with the optical diagnosis and the "resect and discard strategy".
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| http://dx.doi.org/10.1007/s12328-021-01501-8 | DOI Listing |
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