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Hyperplastic
polyps, the mostly small benign polyps often found in the rectum,
may identify individuals with a high risk of colorectal cancer,
according to Swedish researchers.
Noncancerous
adenomas found in the colon and rectum have long been recognised
as precursors of colorectal cancer, but the significance of hyperplastic
polyps -- which rarely themselves become malignant -- has not
been clear.
But in a 10-year
study of almost 300 individuals predisposed to hereditary colorectal
cancer, the researchers found a positive correlation between the
number of hyperplastic polyps and the number of adenomas discovered
during colonoscopies.
They reported
finding a total of 292 hyperplastic polyps in 98 of the participants,
with 90 of the participants having a total of 186 adenomas.
"The
risk of detecting new hyperplastic polyps or adenomas increased
significantly when there was a positive finding at first colonoscopy,"
the researchers reported in the journal Gut.
"Hyperplastic
polyps as well as adenomas may identify individuals with a high
risk of colorectal cancer," the researchers concluded. "This
information is important when these individuals are selected and
included in tailored surveillance programs."
Other
sources: Gut
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