[The hyperplastic gastric polyp - a praecancerosis?].
In general, hyperplastic polyps of the stomach are regarded as benign lesions. Still there is the chance to find carcinomas within them as documented in this case report. This finding can be interpreted as an incidental appearance. At the moment there are no standardized guidelines regarding diagnostics and therapy of gastric hyperplastic polyps. Referring to a short review of the literature endoscopic snare polypectomy seems to be a reasonable therapeutic option of hyperplastic polyps with a size of 0.5-1 cm. Although it is possible to determine the histology by forceps biopsy, it is possible to be misled by missing areas of focal carcinomas. Complications after polypectomy are rare and often no further intervention is needed. A further point for polypectomy is the fact that surfaces of hyperplastic polyps are eroded in about 90 % and therefore there is the risk of bleeding, chronic anaemia and positive stool tests for occult blood.
Kudis
V
V
Klinikum Ludwigshafen gGmbH, Akademisches Lehrkrankenhaus der Johannes Gutenberg-Universität Mainz, Medizinische Klinik C, Gastroenterologie, Hepatologie und Diabetologie, Germany. MedCLu@t-online.de
Siegel
E
E
Schilling
D
D
Nüsse
T
T
Bohrer
M H
MH
Riemann
J F
JF
D000230:Adenocarcinoma / Q000473:pathology* / Q000601:surgery; D000368:Aged; D001706:Biopsy; D002278:Carcinoma in Situ / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D005753:Gastric Mucosa / Q000473:pathology; D005773:Gastroscopy; D006801:Humans; D006965:Hyperplasia; D008297:Male; D011230:Precancerous Conditions / Q000473:pathology* / Q000601:surgery; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery