Asadzadeh Aghdaei H, Nazemalhosseini Mojarad E, Ashtari S, Pourhoseingholi MA, Chaleshi V, Anaraki F, Haghazali M, Zali MR. Polyp detection rate and pathological features in patients undergoing a comprehensive colonoscopy screening. World J Gastrointest Pathophysiol 2017; 8(1): 3-10 [PMID: 28251034 DOI: 10.4291/wjgp.v8.i1.3]
Corresponding Author of This Article
Sara Ashtari, MSc of Epidemiology in Research Institute of Gastroenterology and Liver Diseases, Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tabnak St, Yaman Ave, Velenjak, Tehran 19835-178, Iran. sara_ashtari@yahoo.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
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World J Gastrointest Pathophysiol. Feb 15, 2017; 8(1): 3-10 Published online Feb 15, 2017. doi: 10.4291/wjgp.v8.i1.3
Table 1 Patients’ characteristics and colonoscopy findings
Variable
All (n = 531)
Sex
Male, n (%)
236 (44.4)
Female, n (%)
295 (55.6)
Age
Mean years (SD)
50.3 ± 15.4
Age groups
≤ 50 yr
250 (47.1)
> 50 yr
281 (52.9)
Family history
Yes
150 (28.2)
No
381 (71.8)
Indication, n (%)
Screening
120 (22.6)
Gastrointestinal bleeding
90 (17.0)
Constipation
82 (15.5)
Diarrhea
74 (14.0)
Abdominal pain
70 (13.3)
Inflammatory bowel disease
65 (12.2)
Others
29 (5.4)
Patients with at least 1 polyp, n (%)
Neoplastic polyps
68 (54.4)
Non-neoplastic polyps
57 (45.6)
Cancer, n (%)
8 (1.5)
Table 2 Detection rates of different histologic types of polyps and cancer by gender
Histologic type of polyps
Gender
Total
Male (%)
Female (%)
Neoplastic
Tubular
18 (53.0)
16 (47.0)
34 (100)
Tubulo-villous
13 (68.4)
6 (31.6)
19 (100)
Villous
4 (40.0)
6 (60.0)
10 (100)
Serrated
3 (60.0)
2 (40.0)
5 (100)
Adenomatous polyps
38 (55.9)
30 (44.1)
68 (100)
Non-neoplastic
Hyperplastic
28 (40.6)
29 (45.3)
57 (100)
Total PDR
66 (52.8)
59 (47.2)
125 (100)
Cancer
5 (62.5)
3 (37.5)
8 (100)
Total
69 (51.9)
64 (48.1)
133 (100)
Table 3 Detection rates of different histologic types of polyps and cancer by age
Histologic type of polyps
Age-groups
Total
≤ 50 yr
> 50 yr
Neoplastic
Tubular
6 (17.6)
28 (82.4)
34 (100)
Tubulo-villous
7 (36.8)
12 (63.2)
19 (100)
Villous
3 (30.0)
7 (70.0)
10 (100)
Serrated
3 (60.0)
2 (40.0)
5 (100)
Adenomatous polyps
19 (28.0)
49 (72.0)
68 (100)
Non-neoplastic
Hyperplastic
19 (33.3)
38 (66.7)
57 (100)
Total PDR
38 (30.4)
87 (69.6)
125 (100)
Cancer
1 (12.5)
7 (87.5)
8 (100)
Total
39 (29.3)
94 (70.7)
133 (100)
Table 4 Detection rates of different histologic types of polyps and cancer by family history
Histologic type of polyps
Family history
Total
No (%)
Yes (%)
Neoplastic
Tubular
26 (76.4)
8 (23.6)
34 (100)
Tubulo-villous
13 (68.4)
6 (31.6)
19 (100)
Villous
5 (50.0)
5 (50.0)
10 (100)
Serrated
2 (40.0)
3 (60.0)
5 (100)
Adenomatous polyps
46 (67.6)
22 (32.4)
68 (100)
Non-neoplastic
Hyperplastic
46 (80.7)
11 (19.3)
57 (100)
Total PDR
92 (73.6)
33 (26.4)
125 (100)
Cancer
0 (0)
8 (100)
8 (100)
Total
92 (69.2)
41 (30.8)
133 (100)
Table 5 Detection rates of different histologic types of polyps by location
Histologic type of polyps
Location
Total
Proximal colon (%)
Distal colon (%)
Neoplastic
Tubular
10 (26.3)
28 (73.7)
38 (100)
Tubulo-villous
9 (40.9)
13 (59.1)
22 (100)
Villous
3 (30.0)
7 (70.0)
10 (100)
Serrated
3 (37.5)
5 (62.5)
8 (100)
Adenomatous polyps
25 (32.0)
53 (68.0)
78 (100)
Non-neoplastic
Hyperplastic
19 (31.7)
41 (68.3)
60 (100)
Total PDR
44 (31.9)
94 (68.1)
138 (100)
Table 6 Detection rates of different histologic types of polyps by colonic segments
Polyps
Location
Total
Ascending colon
Transverse colon
Descending colon
Sigmoid
Rectum
Cecum
Hepatic flexure
Splenic flexure
Tubular
3 (7.9)
5 (13.2)
4 (10.5)
7 (18.4)
16 (42.1)
1 (2.6)
1 (2.6)
1 (2.6)
38 (100)
Tubulo-villous
4 (18.2)
3 (13.6)
2 (9.1)
6 (27.3)
5 (22.7)
2 (9.1)
0 (0)
0 (0)
22 (100)
Villous
0 (0)
1 (10)
0 (0)
2 (20)
5 (50)
2 (20)
0 (0)
0 (0)
10 (100)
Serrated
0 (0)
3 (37.5)
1 (12.5)
3 (37.5)
1 (12.5)
0 (0)
0 (0)
0 (0)
8 (100)
Hyperplastic
7 (11.7)
10 (16.7)
7 (11.7)
16 (26.7)
17 (28.3)
2 (3.3)
0 (0)
1 (1.7)
60 (100)
Total
14 (10.1)
22 (16.0)
14 (10.1)
34 (24.6)
44 (32.0)
7 (5.1)
1 (0.7)
2 (1.4)
138 (100)
Table 7 Detection rates of different histologic types of polyps by size
Size
Histologic type
Total
Hyperplastic
Tubular
Tubul-villous
villous
Serrated
Small
11 (44.0)
0 (0)
14 (56.0)
0 (0)
0 (0)
25 (100)
Medium
14 (46.7)
0 (0)
12 (40.0)
0 (0)
4 (13.3)
30 (100)
Large
0 (0)
8 (40.0)
3 (15.0)
9 (45.0)
0 (0)
20 (100)
Unknown
35 (55.6)
2 (3.2)
9 (14.3)
13 (20.6)
4 (6.3)
63 (100)
Total
60 (43.5)
10 (7.2)
38 (27.5)
22 (16.0)
8 (5.8)
138 (100)
Table 8 Detection rates of different histologic types of polyps by degree of dysplasia
Grade
Histologic type
Total
Tubular
Tubul-villous
Villous
Serrated
Mild
21 (51.2)
11(26.9)
6 (14.6)
3 (7.3)
41 (100)
Moderate
11 (57.9)
3 (15.8)
3 (15.8)
2 (10.5)
19 (100)
Severe
6 (33.3)
8 (44.5)
1 (5.5)
3 (16.7)
18 (100)
Total
38 (48.7)
22 (28.2)
10 (12.9)
8 (10.2)
78 (100)
Citation: Asadzadeh Aghdaei H, Nazemalhosseini Mojarad E, Ashtari S, Pourhoseingholi MA, Chaleshi V, Anaraki F, Haghazali M, Zali MR. Polyp detection rate and pathological features in patients undergoing a comprehensive colonoscopy screening. World J Gastrointest Pathophysiol 2017; 8(1): 3-10