Endoscopic recognition of the sessile serrated polyp to cancer sequence

Sessile serrated adenoma/polyps with a depressed surface: a rare form of sessile serrated adenoma/polyp

Sessile serrated adenoma/polyps (SSA/Ps) usually appear flat to sessile with a smooth-appearing surface. However, macroscopic appearances of SSA/P can vary from flat-elevated to nodular and can even show a pedunculated configuration as we previously reported. The aim of the current study was to evaluate the clinicopathologic features of another under-recognized form of SSA/P which shows a depre...

Sessile serrated lesion misdiagnosed as a hyperplastic polyp.

An 81-year-old woman presented for colonoscopy because of iron deficiency anemia. She had undergone colonoscopy 5 years previously during which a 2-cm prominent fold had been identified in the proximal ascending colon (●" Fig.1). A biopsy of this lesion was interpreted as being a hyperplastic polyp (●" Fig.2), although the polyp showed features of a serrated lesion. Because of clinical concern ...

Inverted sessile serrated polyp diagnosed by magnifying image-enhanced colonoscopy.

Sessile serrated adenoma/polyp leading to acute appendicitis with multiple pyogenic liver abscesses: A case report

INTRODUCTION Although appendicitis is a common disease, appendicitis concurrent with liver abscesses and sessile serrated adenoma/polyp (SSA/P) is rare. PRESENTATION OF CASE A 69-year-old man presented with symptoms of abdominal pain and fever. Computed tomography (CT) revealed multiple liver abscesses and an enlarged appendix with a pseudotumoral appearance, which suggested acute appendiciti...

Endoscopic Observation of the Growth Process of a Right-Side Sessile Serrated Adenoma/Polyp with Cytological Dysplasia to an Invasive Submucosal Adenocarcinoma

A sessile serrated adenoma/polyp (SSA/P) with cytological dysplasia in the right colon, which transformed to an invasive submucosal adenocarcinoma finally, was endoscopically observed in a 76-year-old woman. A whitish soft SSA/P (approximately 25 mm in diameter) was detected in the cecum. Biopsy samples were obtained from the small nodule, and the lesion was eventually diagnosed as an SSA/P wit...