alexa Colonic Filiform Polyposis in a Patient without Inflammatory Bowel Disease
ISSN: 2472-4971

Journal of Medical & Surgical Pathology
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Case Report

Colonic Filiform Polyposis in a Patient without Inflammatory Bowel Disease

Yongxin Chen1, Detlef Ritter1,2, Ping Hou1,2 and Jin-Ping Lai1*

1Department of Pathology, Saint Louis University School of Medicine, Saint Louis, MO, USA

2Department of Pathology, VA St. Louis Health Care System, Saint Louis, MO, USA

*Corresponding Author:
Jin-ping Lai
Department of Pathology, Saint Louis University
1402 South Grand Blvd St. Louis, MO, USA
Tel: 314-577-8475
Fax: 314-577-6132
E-mail: [email protected]

Received Date: August 31, 2015 Accepted Date: October 19, 2015 Published Date: October 23, 2015

Citation: Chen Y, Ritter D, Ping Hou P, Lai JP (2015) Colonic Filiform Polyposis in a Patient without Inflammatory Bowel Disease. J Med Surg Pathol 1:101.doi:10.4172/jmsp.1000101

Copyright: © 2015 Chen Y, et al.This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Filiform polyposis is an uncommon entity that is most often encountered in the colon of patients with a history of inflammatory bowel disease (IBD). We report a case of filiform polyposis occurring in a 71-year-old man with no history, or symptoms of IBD. The patient was found to have numerous polypoid lesions in the ascending and proximal transverse colon endoscopically and underwent hemicolectomy. Gross examination revealed numerous finger-like polyps spreading in the ascending colon and transverse colon. Histologic evaluation of the excised specimen demonstrated the polyps lined by cytologically bland colonic mucosa with fibrovascular cores. Acute and chronic inflammation including crypt abscesses was focally present. No significant ulcerations, granulomas, dysplasia or malignancy were identified. The diagnosis was filiform polyposis and he had an uneventful postoperative course. The pathogenesis of colonic filiform polyposis is still uncertain. Filiform polyps themselves are not considered precancerous in the patients without IBD.

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