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Colon and Rectum Benign Neoplasms and Differential Diagnosis

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Abdominal Imaging

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Abstract

The term “colonic polyp” refers to any growth that protrudes into the colonic lumen. Benign polyps of the colon are very common and usually are asymptomatic. Mucosal and submucosal lesions can be distinguished among these polyps. The mucosal lesions can be divided into nonneoplastic mucosal polyps and neoplastic mucosal polyps. Nonneoplastic mucosal colonic polyps consist of hyperplastic, inflammatory, juvenile, and hamartomatous polyps (see Chap. 58). Neoplastic mucosal polyps are adenomatous and can be subdivided into tubular adenomas, tubulovillous adenomas, or villous adenomas and malignant polyps or adenocarcinomas. The adenocarcinomas and colonic polyp-cancer sequence will be discussed in the Chap. 57, “Colon and Rectum Malignant Neoplasms”.

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References

  • Abrams HL, Spiro R, Goldstein N. Metastases in carcinoma: analysis of 1000 autopsied cases. Cancer. 1950;3:74–5.

    Article  PubMed  CAS  Google Scholar 

  • Bernstein MA, Feczko PJ, Halpert RD, et al. Distribution of colonic polyps: increased incidence of proximal lesions in older patients. Radiology. 1985;155:35–8.

    PubMed  CAS  Google Scholar 

  • Bond JH. Colorectal surveillance for neoplasia: an overview. Gastrointest Endosc. 1999;49:S35–40.

    Article  PubMed  CAS  Google Scholar 

  • Borum ML. Cavernous colorectal hemangioma (a rare cause of lower gastrointestinal bleeding and a review of the literature). Dig Dis Sci. 1997;42:2468–70.

    Article  PubMed  CAS  Google Scholar 

  • Buetow PC, Buck JL, Carr NJ, Pantongrag-Brown L, Ros PR, Cruess DF. Intussuscepted colonic lipomas: loss of fat attenuation on CT with pathologic correlation in 10 cases. Abdom Imaging. 1996;21:153–6.

    Article  PubMed  CAS  Google Scholar 

  • Capella C, Solcia E, Sobin LH, Arnold R. Endocrine tumors of the colon and rectum. In: Hamilton SR, Aaltonen LA, editors. World Health Organization classification of tumors: pathology and genetics of tumors of the digestive system. Lyon: IARC; 2000. p. 137–9.

    Google Scholar 

  • Coscina WF, Arger PH, Herlinger H, et al. CT diagnosis of villous adenoma. J Comput Assist Tomogr. 1986;10:764–6.

    Article  PubMed  CAS  Google Scholar 

  • de Silva CM, Reid R. Gastrointestinal stromal tumors (GIST): C-kit mutations, CD117 expression, differential diagnosis and targeted cancer therapy with Imatinib. Pathol Oncol Res. 2003;9:13–9.

    Article  PubMed  Google Scholar 

  • Delamarre J, Descombes P, Marti R, et al. Villous tumor of the colon: double-contrast study of 47 cases. Gastrointest Radiol. 1980;5:69–73.

    Article  PubMed  CAS  Google Scholar 

  • Djouhri H, Arrivé L, Bouras T, Martin B, Monnier-Cholley L, Tubiana JM. Diffuse cavernous hemangioma of the rectosigmoid colon: imaging findings. J Comput Assist Tomogr. 1998;22:851–5.

    Article  PubMed  CAS  Google Scholar 

  • El-Amin LC, Levine MS, Rubesin SE, et al. Ileocecal valve: spectrum of normal findings on double-contrast barium enema examination. Radiology. 2003;227:52–8.

    Article  PubMed  Google Scholar 

  • Esquivel J, Chua TC, Stojadinovic A, Melero JT, Levine EA, Gutman M, Howard R, Piso P, Nissan A, Gomez-Portilla A, Gonzalez-Bayon L, Gonzalez-Moreno S, Shen P, Stewart JH, Sugarbaker PH, Barone RM, Hoefer R, Morris DL, Sardi A, Sticca RP. Accuracy and clinical relevance of computed tomography scan interpretation of peritoneal cancer index in colorectal cancer peritoneal carcinomatosis: a multi-institutional study. J Surg Oncol. 2010;102:565–70.

    Article  PubMed  CAS  Google Scholar 

  • Fan CW, Changchien CR, Wang JY, et al. Primary colorectal lymphoma. Dis Colon Rectum. 2000;43:1277–1282.

    Article  PubMed  CAS  Google Scholar 

  • Glick SN. Inverted colonic diverticulum: air contrast barium enema findings in six cases. AJR Am J Roentgenol. 1991;156:961–4.

    Article  PubMed  CAS  Google Scholar 

  • Goettsch WG, Bos SD, Breekveldt-Postma N, Casparie M, Herings RMC, Hogendoom PCW. Incidence of gastrointestinal stromal tumors is underestimated: results of a nation-wide study. Eur J Cancer. 2005;41:2868–72.

    Article  PubMed  Google Scholar 

  • Hancock BJ, Vajcner A. Lipomas of the colon: a clinicopathologic review. Can J Surg. 1988;31:178–81.

    PubMed  CAS  Google Scholar 

  • Hirota S, Isozaki K, Moriyama Y, et al. Gain-of-function mutations of c-kit in human gastrointestinal stromal tumors. Science. 1998;279:577–80.

    Article  PubMed  CAS  Google Scholar 

  • Hoff G, Foerster A, Vatn MH, Sauar J, Larsen S. Epidemiology of polyps in the rectum and colon. Recovery and evaluation of unresected polyps 2 years after detection. Scand J Gastroenterol. 1986;21:853–62.

    Article  PubMed  CAS  Google Scholar 

  • Ignjatovic A, Burling D, Ilangovan R, Clark SK, Taylor SA, East JE, Saunders BP. Flat colon polyps: what should radiologists know? Clin Radiol. 2010;65:958–66.

    Article  PubMed  CAS  Google Scholar 

  • Iida M, Iwashita A, Yao T, et al. Villous tumor of the colon: correlation of histologic, macroscopic, and radiographic features. Radiology. 1988;167:673–7.

    PubMed  CAS  Google Scholar 

  • Johannsen LG, Momsen O, Jacobsen NO. Polyps of the large intestine in Aarhus, Denmark. An autopsy study. Scand J Gastroenterol. 1989;24:799–806.

    Article  PubMed  CAS  Google Scholar 

  • Kim MJ, Yun SH, Chun HK, Lee WY, Cho YB. Post-transplant lymphoproliferative disorder localized in the colon after liver transplantation: report of a case. Surg Today. 2009;39:1076–9.

    Article  PubMed  CAS  Google Scholar 

  • Krug B, Beyer D, Groth W, Günther M. Hematogenous gastrointestinal metastases–limits of radiologic diagnosis. Rontgenblatter. 1987;40:90–4.

    PubMed  CAS  Google Scholar 

  • Levine MS, Rubesin SE, Laufer I, Herlinger H. Diagnosis of colorectal neoplasms at double-contrast barium enema examination. Radiology. 2000;216:11–8.

    PubMed  CAS  Google Scholar 

  • Levitt RG, Koehler RE, Sagel SS, et al. Metastatic disease of the mesentery and omentum. Radiol Clin North Am. 1982;20:501–10.

    PubMed  CAS  Google Scholar 

  • Levy AD, Sobin LH. From the archives of the AFIP: gastrointestinal carcinoids: imaging features with clinicopathologic comparison. Radiographics. 2007;27:237–57.

    Article  PubMed  Google Scholar 

  • Levy AD, Remotti HE, Thompson WM, Sobin LH, Miettinen M. Anorectal gastrointestinal stromal tumors: CT and MR imaging features with clinical and pathologic correlation. AJR Am J Roentgenol. 2003;180:1607–12.

    Article  PubMed  Google Scholar 

  • Li B, Shi YK, He XH, Zou SM, Zhou SY, Dong M, Yang JL, Liu P, Xue LY. Primary non-Hodgkin lymphomas in the small and large intestine: clinicopathological characteristics and management of 40 patients. Int J Hematol. 2008;87:375–81.

    Article  PubMed  Google Scholar 

  • Lieberman DA, Holub JL, Moravec MD, Eisen GM, Peters D, Morris CD. Prevalence of colon polyps detected by colonoscopy screening in asymptomatic black and white patients. JAMA. 2008;300:1417–22.

    Article  PubMed  CAS  Google Scholar 

  • Maggard MA, O’Connell JB, Ko CY. Updated population-based review of carcinoid tumors. Ann Surg. 2004;240:117–22.

    Article  PubMed  Google Scholar 

  • Margulis AR. Case: hemangioma of the rectum. Gastrointest Radiol. 1981;6:363–4.

    Article  PubMed  CAS  Google Scholar 

  • Miller Jr WT, Levine MS, Rubesin SE, et al. Bowler hat sign: a simple principle for differentiating polyps from diverticula. Radiology. 1989;173:615–7.

    PubMed  Google Scholar 

  • Modlin IM, Lye KD, Kidd M. A 5-decade analysis of 13,715 carcinoid tumors. Cancer. 2003;97:934–59.

    Article  PubMed  Google Scholar 

  • Pérez C, Andreu J, Llauger J, Valls J. Hemangioma of the rectum: CT appearance. Gastrointest Radiol. 1987;12:347–9.

    Article  PubMed  Google Scholar 

  • Peters MB, Obermeyer RJ, Ojeda HF, Knauer EM, Millie MP, Ertan A, Copper S, Sweeney JF. Laparoscopic management of colonic lipomas: a case report and review of the literature. JSLS. 2005;9:342–4.

    PubMed  CAS  Google Scholar 

  • Pickhardt PJ. Differential diagnosis of polypoid lesions seen on CT colonography (virtual colonoscopy). Radiographics. 2004;24:1535–59.

    Article  PubMed  Google Scholar 

  • Pickhardt PJ, Kim DH, Menias CO, Gopal DV, Arluk GM, Heise CP. Evaluation of submucosal lesions of the large intestine: part 1. Neoplasms. Radiographics. 2007;27:1681–92.

    Article  Google Scholar 

  • Pikarsky A, Wexner S, Lebensart P, et al. The use of rectal ultrasound for the correct diagnosis and treatment of rectal villous tumors. Am J Surg. 2000;179:261–5.

    Article  PubMed  CAS  Google Scholar 

  • Rubesin SE, Sul SH, Laufer I, et al. Carpet lesions of the colon. Radiographics. 1985;5:537–52.

    Google Scholar 

  • Rubesin SE, Levine MS, Laufer I, et al. Villous adenomas: the scientific and the practical. Radiology. 1988;167:869–70.

    PubMed  CAS  Google Scholar 

  • Spread C, Berkel H, Jewell L, Jenkins H, Yakimets W. Colon carcinoid tumors. A population-based study. Dis Colon Rectum. 1994;37:482–91.

    Article  PubMed  CAS  Google Scholar 

  • Vatn MH, Stalsberg H. The prevalence of polyps of the large intestine in Oslo: an autopsy study. Cancer. 1982;49:819–25.

    Article  PubMed  CAS  Google Scholar 

  • Wilson CL, Song LWK, Chua H, Ferrara M, Devine RM, Dozois RR, Nehra V. Bleeding from cavernous angiomatosis of the rectum in Klippel-Trenaunay syndrome: report of three cases and literature review. Am J Gastroenterol. 2001;96:2783–8.

    PubMed  CAS  Google Scholar 

  • Winawer SJ, Stewart ET, Zauber AG, et al. A comparison of colonoscopy and double-contrast barium enema for surveillance after polypectomy. National Polyp Study Work Group. N Engl J Med. 2000;342:1766–72.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology and Biomedical Imaging, The University of California, San Francisco, CA, 94143, USA

    Dr. Ruedi F. Thoeni M.D.

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  1. Dr. Ruedi F. Thoeni M.D.
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Correspondence to Ruedi F. Thoeni M.D. .

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Editors and Affiliations

  1. Department of Radiology, Charité - Universitätsmedizin Berlin, Berlin, Germany

    Bernd Hamm

  2. Department of Radiology, Case Western Reserve University, University Hospitals Case Medical Center, Cleveland, OH, USA

    Pablo R. Ros

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© 2013 Springer-Verlag Berlin Heidelberg

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Thoeni, R.F. (2013). Colon and Rectum Benign Neoplasms and Differential Diagnosis. In: Hamm, B., Ros, P.R. (eds) Abdominal Imaging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-13327-5_157

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  • DOI: https://doi.org/10.1007/978-3-642-13327-5_157

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-13326-8

  • Online ISBN: 978-3-642-13327-5

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