Author/Authors :
Norouzi , Alireza Golestan Research Center of Gastroentrology and Hepatology - Golestan University of Medical Sciences, Gorgan, Iran , Besharat , Sima Golestan Research Center of Gastroentrology and Hepatology - Golestan University of Medical Sciences, Gorgan, Iran , Isapanah Amlashi, Fazel Golestan Research Center of Gastroentrology and Hepatology - Golestan University of Medical Sciences, Gorgan, Iran , Nasrabadi, Maryam Golestan University of Medical Sciences, Gorgan, Iran , Gharanjik, Isan Golestan Research Center of Gastroentrology and Hepatology - Golestan University of Medical Sciences, Gorgan, Iran , Ashkbari , Ali Golestan Research Center of Gastroentrology and Hepatology - Golestan University of Medical Sciences, Gorgan, Iran , Riahi , Zoha Golestan Research Center of Gastroentrology and Hepatology - Golestan University of Medical Sciences, Gorgan, Iran , Kaabe, Sajjad Golestan Research Center of Gastroentrology and Hepatology - Golestan University of Medical Sciences, Gorgan, Iran , ShahabiNasab, Iman Golestan Research Center of Gastroentrology and Hepatology - Golestan University of Medical Sciences, Gorgan, Iran , Roshandel, Gholamreza Golestan Research Center of Gastroentrology and Hepatology - Golestan University of Medical Sciences, Gorgan, Iran , Sohrabi ,Ahmad Infectious Disease Research Center - Golestan University of Medical Sciences, Gorgan, Iran , Amiriani , Taghi Golestan Research Center of Gastroentrology and Hepatology - Golestan University of Medical Sciences, Gorgan, Iran , Semnani, Shahryar Golestan Research Center of Gastroentrology and Hepatology - Golestan University of Medical Sciences, Gorgan, Iran
Abstract :
BACKGROUND
The incidence of colorectal cancer is increasing in the northeast of Iran. Colorectal
polyps are among the proposed risk factors noted, especially in the elder population.
This study was designed to study the diagnosed cases of intestinal polyps detected from
2011 to 2016 in the northeast of Iran.
METHODS
The population consisted of symptomatic candidates referred to the colonoscopy center
in Gorgan city. Based on the available colonoscopy and pathology reports, 1706 cases were
enrolled after the exclusion of cases without sufficient data.
RESULTS
Among 1709 (55.5% males and 44.5% females) cases, 1405 cases with 1912 polyps were
detected. Among them, 345 (25%) aged less than 50 years. Tubular adenoma (N = 826, 43.2%)
and hyperplastic polyps (N = 519, 27.1%) were the top two histological findings. Out of 1405
patients with polyps, 660 (39.6%) polyps were detected in proximal colon (15.6% in proximal
and 24% in both proximal and distal). Malignancies were detected in 13.2% (0.8% malignant
polyps and 12.4% malignant masses).
CONCLUSION
A considerable number of colorectal adenomas in proximal colon and in patients younger
than 50 years old, suggesting to schedule colorectal cancer screening from at least 10 years
younger and continuing colonoscopy up to the proximal area.
