Abstract
Of 182 polyps retrieved from 100 patients who underwent colonoscopic polypectomies, 160 were adenomas; of these, 16 contained epithelial inclusions within the stalk. The importance of recognizing this lesion lies in the fact that it mimics invasive cancer. From histologic study, criteria are proposed for differentiating the pseudocarcinomatous lesion from invasive cancer. The differentiation from colitis cystica profunda is also discussed.
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References
Clark JF, Muldoon JP. Colitis cystica profunda in an adenoma (adenomatous polyp): report of a case. Dis Colon Rectum 1970;13:387–9.
Fechner RE. Polyp of the colon possessing features of colitis cystica profunda. Dis Colon Rectum 1967;10:359–64.
Muto T, Bussey JH, Morson BC. Pseudo-carcinomatous invasion in adenomatous polyps of the colon and rectum. J Clin Pathol 1973;26:25–31.
Greene FL. Epithelial misplacement in adenomatous polyps of the colon and rectum. Cancer 1974;33:206–17.
Morson BC. Histologic typing of intestinal tumours. International Histologic Classification of Tumours. Monograph. No. 15, Geneva: World Health Organization, 1976.
Helwig EB. Adenomas and the pathogenesis of cancer of the colon and rectum. Dis Colon Rectum 1959;2:5–17.
Lane N, Kaye GI. Pedunculated adenomatous polyp of the colon with carcinoma, lymph node metastasis and sutureline recurrence: report of a case and discussion of terminology problems. Am J Clin Pathol 1967;48:170–82.
Epstein SE, Ascari WQ, Ablow RC, Seaman WB, Lattes R. Colitis cystica profunda. Am J Clin Pathol 1966;45:186–201.
Allen MS Jr. Hamartomatous inverted polyps of the rectum. Cancer 1966;19:257–65.
Rutter KR. Solitary rectal ulcer syndrome. Proc R Soc Med 1975;68:22–6.
Baratz M, Werbin N, Wiznitzer T, Rozen P. Irradiation-induced colonic stricture and colitis cystica profunda: report of a case. Dis Colon Rectum 1978;21:75–9.
Goodall HB, Sinclair IS. Colitis cystica profunda. J Pathol 1957;73:33–42.
Wayte DM, Helwig EB. Colitis cystica profunda. Am J Clin Pathol 1967;48:159–69.
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Qizilbash, A.H., Meghji, M. & Castelli, M. Pseudocarcinomatous invasion in adenomas of the colon and rectum. Dis Colon Rectum 23, 529–535 (1980). https://doi.org/10.1007/BF02988988
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DOI: https://doi.org/10.1007/BF02988988