Polypectomy scar - Revision history

Michael at 22:08, 12 December 2023

2023-12-12T22:08:26Z

← Older revision		Revision as of 22:08, 12 December 2023
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	==See also==		==See also==
	*[[Polypectomy]].		*[[Polypectomy]].
			*[[Iatrogenic tattoo]].

	==References==		==References==

Michael at 22:07, 12 December 2023

2023-12-12T22:07:13Z

← Older revision		Revision as of 22:07, 12 December 2023
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	==Gross==		==Gross==
	*Flat white regions with loss of the usual mucosal folds.		*Flat white regions with loss of the usual mucosal folds.
	*Usually seen in association with an iatrogenic tattoo.		*Usually seen in association with an [[iatrogenic tattoo]].

	Note:		Note:

Michael: fix wording

2023-12-12T19:28:23Z

fix wording

← Older revision		Revision as of 19:28, 12 December 2023
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	<pre>		<pre>
	Right Colon, Terminal Ileum and Appendix, Right Hemicolectomy:		Right Colon, Terminal Ileum and Appendix, Right Hemicolectomy:
	- Benign mucosal/submucosa scar in compatible with the polypectomy site, correlation recommended, see comment.		- Benign mucosal/submucosa scar compatible with the polypectomy site, correlation recommended, see comment.
	- Iatrogenic tattoo.		- Iatrogenic tattoo.
	- Terminal ileum within normal limits.		- Terminal ileum within normal limits.

Michael at 21:39, 9 August 2023

2023-08-09T21:39:44Z

← Older revision		Revision as of 21:39, 9 August 2023
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	The scar was submitted in total. The location of the scar in relation to the tattoo is documented within the gross.		The scar was submitted in total. The location of the scar in relation to the tattoo is documented within the gross.

	It would be useful to confirm that the location of lesion (that prompted the resection) in relation to the tattoo, is the same as the relationship between scar and the tattoo.		It would be useful to confirm that: the location of lesion (that prompted the resection) in relation to the tattoo is the same as the relationship between scar and the tattoo.
	</pre>		</pre>

Michael at 21:38, 9 August 2023

2023-08-09T21:38:22Z

← Older revision		Revision as of 21:38, 9 August 2023
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	*Scar alone is difficult to differentiate from scar with cancer.<ref>{{cite journal \|authors=Riu Pons F, Andreu M, Gimeno Beltran J, Álvarez-Gonzalez MA, Seoane Urgorri A, Dedeu JM, Barranco Priego L, Bessa X \|title=Narrow band imaging and white light endoscopy in the characterization of a polypectomy scar: A single-blind observational study \|journal=World J. Gastroenterol. \|volume=24 \|issue=45 \|pages=5179–5188 \|date=December 2018 \|pmid=30568394 \|pmc=6288651 \|doi=10.3748/wjg.v24.i45.5179 \|url=}}</ref>		*Scar alone is difficult to differentiate from scar with cancer.<ref>{{cite journal \|authors=Riu Pons F, Andreu M, Gimeno Beltran J, Álvarez-Gonzalez MA, Seoane Urgorri A, Dedeu JM, Barranco Priego L, Bessa X \|title=Narrow band imaging and white light endoscopy in the characterization of a polypectomy scar: A single-blind observational study \|journal=World J. Gastroenterol. \|volume=24 \|issue=45 \|pages=5179–5188 \|date=December 2018 \|pmid=30568394 \|pmc=6288651 \|doi=10.3748/wjg.v24.i45.5179 \|url=}}</ref>

			*Iatrogenic tattoos are commonly seen in the context of polypectomy scars. Unfortunately, endoscopists are not good at documenting them; a study from 2021 found 67% of the time the location of the tattoo is not documented.<ref name=pmid33025255>{{cite journal \|authors=Hershorn O, Park J, Singh H, Clouston K, Vergis A, Helewa RM \|title=Predictors and rates of prior endoscopic tattoo localization amongst individuals undergoing elective colorectal resections for benign and malignant lesions \|journal=Surg Endosc \|volume=35 \|issue=10 \|pages=5524–5530 \|date=October 2021 \|pmid=33025255 \|doi=10.1007/s00464-020-08048-8 \|url=}}</ref>

			==Gross==
			*Flat white regions with loss of the usual mucosal folds.
			*Usually seen in association with an iatrogenic tattoo.

			Note:
			*The tattoo is most often distal to the scar.<ref name=pmid33025255/>

	==Microscopic==		==Microscopic==
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	==Sign out==		==Sign out==
	Should be signed in a non-committal way (e.g. "focal submucosal fibrosis") if no prior pathology is available/specimen is not labelled something like "old polypectomy site".		Should be signed in a non-committal way (e.g. "focal submucosal fibrosis") if no prior pathology is available/specimen is not labelled something like "old polypectomy site".

			The location of any intragenic tattoo(s) should be documented in relation to the suspected scar and correlated with clinical information (if available).

	<pre>		<pre>

Michael: +SO

2023-08-09T21:29:09Z

+SO

← Older revision		Revision as of 21:29, 9 August 2023
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	==Sign out==		==Sign out==
	Should be signed in a non-~~commital~~ way (e.g. "focal submucosal fibrosis") if no prior pathology is available/specimen is not labelled something like "old polypectomy site".		Should be signed in a non-committal way (e.g. "focal submucosal fibrosis") if no prior pathology is available/specimen is not labelled something like "old polypectomy site".

			<pre>
			Right Colon, Terminal Ileum and Appendix, Right Hemicolectomy:
			- Benign mucosal/submucosa scar in compatible with the polypectomy site, correlation recommended, see comment.
			- Iatrogenic tattoo.
			- Terminal ileum within normal limits.
			- Appendix within normal limits.
			- Twenty benign lymph nodes (0 positive/20).
			- NEGATIVE for dysplasia and NEGATIVE for malignancy.

			Comment:
			The scar was submitted in total. The location of the scar in relation to the tattoo is documented within the gross.

			It would be useful to confirm that the location of lesion (that prompted the resection) in relation to the tattoo, is the same as the relationship between scar and the tattoo.
			</pre>

	==See also==		==See also==
	*[[Polypectomy]].		*[[Polypectomy]].

Michael: vauthors

2021-03-25T17:12:29Z

vauthors

← Older revision		Revision as of 17:12, 25 March 2021
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	==General==		==General==
	*Scar alone is difficult to differentiate from scar with cancer.<ref>{{cite journal \|~~vauthors~~=Riu Pons F, Andreu M, Gimeno Beltran J, Álvarez-Gonzalez MA, Seoane Urgorri A, Dedeu JM, Barranco Priego L, Bessa X \|title=Narrow band imaging and white light endoscopy in the characterization of a polypectomy scar: A single-blind observational study \|journal=World J. Gastroenterol. \|volume=24 \|issue=45 \|pages=5179–5188 \|date=December 2018 \|pmid=30568394 \|pmc=6288651 \|doi=10.3748/wjg.v24.i45.5179 \|url=}}</ref>		*Scar alone is difficult to differentiate from scar with cancer.<ref>{{cite journal \|authors=Riu Pons F, Andreu M, Gimeno Beltran J, Álvarez-Gonzalez MA, Seoane Urgorri A, Dedeu JM, Barranco Priego L, Bessa X \|title=Narrow band imaging and white light endoscopy in the characterization of a polypectomy scar: A single-blind observational study \|journal=World J. Gastroenterol. \|volume=24 \|issue=45 \|pages=5179–5188 \|date=December 2018 \|pmid=30568394 \|pmc=6288651 \|doi=10.3748/wjg.v24.i45.5179 \|url=}}</ref>

Michael: re-arrange

2020-06-02T14:07:20Z

re-arrange

← Older revision		Revision as of 14:07, 2 June 2020
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	*Polypectomy scar with adenocarcinoma.		*Polypectomy scar with adenocarcinoma.
	*Focal fibrosis due to other cause.		*Focal fibrosis due to other cause.

	~~==Sign out==~~
	~~Should be signed in a non-commital way (e.g. "focal submucosal fibrosis") if no prior pathology is available/specimen is not labelled something like "old polypectomy site".~~

	===Images===		===Images===
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	</gallery>		</gallery>

			==Sign out==
			Should be signed in a non-commital way (e.g. "focal submucosal fibrosis") if no prior pathology is available/specimen is not labelled something like "old polypectomy site".
	==See also==		==See also==
	*[[Polypectomy]].		*[[Polypectomy]].
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	==References==		==References==
	{{Reflist\|1}}		{{Reflist\|1}}




	[[Category:Diagnosis]]		[[Category:Diagnosis]]
	[[Category:Gastrointestinal pathology]]		[[Category:Gastrointestinal pathology]]

Michael: +so

2020-06-01T15:03:20Z

+so

← Older revision		Revision as of 15:03, 1 June 2020
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	==General==		==General==
	*Scar alone is difficult to differentiate from scar with cancer.<ref>{{cite journal \|vauthors=Riu Pons F, Andreu M, Gimeno Beltran J, Álvarez-Gonzalez MA, Seoane Urgorri A, Dedeu JM, Barranco Priego L, Bessa X \|title=Narrow band imaging and white light endoscopy in the characterization of a polypectomy scar: A single-blind observational study \|journal=World J. Gastroenterol. \|volume=24 \|issue=45 \|pages=5179–5188 \|date=December 2018 \|pmid=30568394 \|pmc=6288651 \|doi=10.3748/wjg.v24.i45.5179 \|url=}}</ref>		*Scar alone is difficult to differentiate from scar with cancer.<ref>{{cite journal \|vauthors=Riu Pons F, Andreu M, Gimeno Beltran J, Álvarez-Gonzalez MA, Seoane Urgorri A, Dedeu JM, Barranco Priego L, Bessa X \|title=Narrow band imaging and white light endoscopy in the characterization of a polypectomy scar: A single-blind observational study \|journal=World J. Gastroenterol. \|volume=24 \|issue=45 \|pages=5179–5188 \|date=December 2018 \|pmid=30568394 \|pmc=6288651 \|doi=10.3748/wjg.v24.i45.5179 \|url=}}</ref>


	==Microscopic==		==Microscopic==
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	DDx:		DDx:
	*Polypectomy scar with adenocarcinoma.		*Polypectomy scar with adenocarcinoma.
			*Focal fibrosis due to other cause.

			==Sign out==
			Should be signed in a non-commital way (e.g. "focal submucosal fibrosis") if no prior pathology is available/specimen is not labelled something like "old polypectomy site".

	===Images===		===Images===

Michael: create

2020-05-28T16:55:46Z

create

New page

A '''polypectomy scar''' results from a [[polypectomy]].

==General==
*Scar alone is difficult to differentiate from scar with cancer.<ref>{{cite journal |vauthors=Riu Pons F, Andreu M, Gimeno Beltran J, Álvarez-Gonzalez MA, Seoane Urgorri A, Dedeu JM, Barranco Priego L, Bessa X |title=Narrow band imaging and white light endoscopy in the characterization of a polypectomy scar: A single-blind observational study |journal=World J. Gastroenterol. |volume=24 |issue=45 |pages=5179–5188 |date=December 2018 |pmid=30568394 |pmc=6288651 |doi=10.3748/wjg.v24.i45.5179 |url=}}</ref>

==Microscopic==
Features:
*Focal submucosal fibrosis.

DDx:
*Polypectomy scar with adenocarcinoma.

===Images===
<gallery>
Image: Colorectal polypectomy scar -- extremely low mag.jpg | CPR - extremely low mag. (WC)
Image: Colorectal polypectomy scar -- very low mag.jpg | CPR - very low mag. (WC)
Image: Colorectal polypectomy scar -- low mag.jpg | CPR - low mag. (WC)
</gallery>

==See also==
*[[Polypectomy]].

==References==
{{Reflist|1}}

[[Category:Diagnosis]]
[[Category:Gastrointestinal pathology]]