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May 1967

Asymptomatic Polyps of the Rectum and Colon: I. A Reexamination

Author Affiliations

Los Angeles

From the Department of Internal Medicine, Southern California Permanente Medical Group, Los Angeles.

Arch Intern Med. 1967;119(5):503-509. doi:10.1001/archinte.1967.00290230141005

I years, more precise histologic diagnosis of polypoid lesions of the rectocolon and understanding of their biologic characteristics has produced a more conservative approach to these lesions above the reach of the sigmoidoscope. Even the economic practicality of routine proctosigmoidoscopy has been questioned. Furthermore the relationship of the adenomatous polyp to colonic carcinoma is not well defined, and the place of the mucosal tag in the adenomacancer complex is even less well understood. So it seems relevant, at the present time, to review the significance and treatment of all polyps found by routine proctosigmoidoscopy. The following study surveys the experience of one physician with mucosal lesions discovered on routine proctologic examination during a six-year period. Size, distribution, multiplicity, treatment, and follow-up of all polyps visualized are contrasted according to their histologic classification. Significantly, the mucosal tag is seen to have the same value as that of an adenomatous polyp in