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Original Article



Analysis of colorectal polyp in pediatric patients: A retrospective study from a tertiary center

Merve Meryem Kiran, Esra Karakus.



Abstract
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The most common cause of rectal bleeding in childhood is colonic polyps. Approximately 90% of colorectal polyps observed in pediatric patients are solitary juvenile polyps, typically located in the rectosigmoid region. Twenty-four pathological specimens submitted to the Pathology Department of the Ankara Pediatric Hematology and Oncology Education and Research Hospital and Ankara Bilkent City Hospital were retrospectively analyzed. Of the 24 cases, 10 (41.7%) were females and 14 (58.3%) were males. The mean age at diagnosis was 9.1 years. Histopathological examination revealed juvenile polyps in 14 cases, tubular adenomas in 9 cases, and a single case of a prolapse-related inflammatory polyp. Juvenile polyps are the most prevalent type of colonic polyp in children and adolescents. Other gastrointestinal polyps, such as those associated with hamartomas and adenomatous polyposis syndromes, are less frequently encountered. However, adenomatous polyposis syndromes carry a high-risk of malignant transformation. Therefore, systematic screening and regular follow-up are essential for pediatric patient’s diagnostic with these lesions.

Key words: Colorectal polyps, juvenil polyp, tubular adenoma, pediatrics







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