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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Incidence and review of sessile serrated polyp reporting in a district general hospital in the UK
Virchows Archiv, Volume 463, No. 5, Year 2013
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Description
The aim of this 4-year audit was to establish whether sessile serrated polyps/adenomas (SSP/A) were diagnosed in a district general hospital in the UK. The study also explored whether SSP/A in the right colon were misdiagnosed as hyperplastic polyps. A retrospective search of the computer records from 2009 to 2012 inclusive for all lesions diagnosed and coded as SSP/A and/or hyperplastic polyps proximal to the splenic flexure was undertaken. All slides were reviewed and a diagnosis of SSP/A made using the criteria recently suggested by the American College of Gastroenterology. Over the study period, no cases of SSP/A were made. On review of all hyperplastic polyps proximal to the splenic flexure, 13/31 in 2009, 17/40 in 2010, 19/48 in 2011 and 16/48 in 2012 were re-classified as SSP/A. The most likely reason for the under-diagnosis of SSP/A is lack of awareness of the lesion both clinically and by pathologists. Adequate biopsies and deeper sections are important to help make the diagnosis of SSP/A. This study shows that SSP/A are reasonably frequently encountered in non-specialist practice settings and that both clinicians and pathologist in this setting need to be aware of its existence. © 2013 Springer-Verlag Berlin Heidelberg.
Authors & Co-Authors
Dada, Mahomed A.
United Kingdom, Bury st Edmunds
West Suffolk Nhs Foundation Trust
Wang, Laimun
United Kingdom, Oxford
University of Oxford
Chetty, Runjan M.
United Kingdom, Oxford
University of Oxford
Canada, Toronto
University Health Network University of Toronto
Statistics
Citations: 8
Authors: 3
Affiliations: 3
Identifiers
Doi:
10.1007/s00428-013-1477-2
ISSN:
14322307
Research Areas
Health System And Policy
Study Design
Cohort Study