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Title: Colonic intra-epithelial carcinoma occurring in a hyperplastic polyp via a serrated adenoma. Author: Tanaka M, Kusumi T, Sasaki Y, Yamagata K, Ichinohe H, Nishida J, Kudo H. Journal: Pathol Int; 2001 Mar; 51(3):215-20. PubMed ID: 11328539. Abstract: We present a case of intra-epithelial carcinoma occurring in a serrated adenoma of the colon. The pedunculated polyp, which measured 12 x 10 x 6 mm, was endoscopically removed from the ascending colon of a 78-year-old woman. Histologically, the polyp mainly consisted of serrated adenomatous glands, and had foci of intra-epithelial carcinoma at the top. Hyperplastic (metaplastic) areas were also present in both borders between the serrated adenomatous area and the surrounding normal mucosa. A sequential increase in the degree of dysplasia, and in the number of nuclei positively reactive for Ki-67 and p53 was evident from the hyperplastic areas toward the foci of carcinoma. The polyp described here may represent a carcinogenic potential of hyperplastic polyp via serrated adenoma.[Abstract] [Full Text] [Related] [New Search]