If small polyps (prednisone pills) are found, a biopsy is performed during sigmoidoscopy, followed by a morphological study.vanity. If the polyp is larger than 1 cm, a biopsy is usually not required, as the patient needs a colonoscopic polypectomy. If the histological structure of the polyp found during sigmoidoscopy corresponds to an adenoma, the patient needs a colonoscopy.
Treatment of adenomatous polyps of the rectum. Doctors of the proctology department of the Yusupov hospital do not conduct conservative therapy for adenomatous polyps of the rectum due to its futility. If the doctor detects an adenoma during sigmoidoscopy, he removes it and examines the proximal colon to detect synchronous adenomatous polyps or other tumor formations.
Piya is not performed on persons who, using sigmoidoscopy, detect small (less than 1 cm) adenomatous polyps of the rectum. For this category of patients, proctologists at the Yusupov Hospital conduct dynamic monitoring and perform colonoscopy once every five years.
For dynamic monitoring of adenomatous polyps of the rectum, colonoscopy is preferable to barium enema. And although X-ray examination is more easily tolerated by patients and has fewer complications, colonoscopy is a more informative study.
The proctologists of the Yusupov hospital during colonoscopy remove not only adenomatous polyps of the rectum, but also all benign neoplasms of the rectum.
When polyps are detected and a polypectomy is performed, all material is removed and sent for morphological examination. Proctologists most often use the following colonoscopic polypectomy techniques to remove adenomatous polyps of the rectum: To facilitate polypectomy for large sessile polyps, surgeons use a saline technique. Large adenomatous polyps on a wide base, with a high risk of complications during endoscopic removal, are removed using surgical resection.
In fact, it is important to differentiate pathological growths according to some signs: Fibroids are based on glandular epithelium and smooth muscle tissue. The base of prednisone includes only the endometrial layer. Myoma grows in the depths of muscle structures, and polyps are above the surface of the endometrium and have a base, a leg (in most cases), a body.
What is the difference between an adenomatous polyp and an adenomyomatous polyp? Many patients confuse the polyp and uterine fibroids, and also combine them with each other.
Important! Single polyposis are found in 35% of prednisone cases, while multiple ones account for only 20%. With diffuse polyposis, the number of polyps reaches an impressive volume. The tendency to malignancy in this case reaches 80%.
According to the quantity, adenomatous growths are classified into the following types: diffuse; localized or solitary; multiple or group.
According to the results of a histological examination, an adenomatous polyp is classified into the following types: Tubular or glandular, consisting of multiple weaves of glandular processes; Villous, with a pronounced shortening of the polyp's leg or its complete absence, in appearance they resemble cauliflower inflorescences;
Adenomatous neoplasm refers to benign diseases with high risks of malignancy. This is due to the course of the pathological process inside the tissues of the uterus, the tendency to spread hyperplastic changes over the entire surface of the endometrium.
The adenomatous type is practically no different in appearance and structural appearance from other types of endometrial polyposis, however, it is adenomatous hyperplasia of the endometrium that has a high risk of prednisone and cancerous degeneration of cells.