IZDUŽENI SLUZNIČNO-PODSLUZNIČNI POLIP DEBELOG CRIJEVA: PRIKAZ BOLESNIKA I PREGLED LITERATURE

U članku prikazujemo bolesnika s izduženim sluznično-podsluzničnim polipom debelog crijeva (engl.colonic mucosal-submucosal elongated polyp, CMSEP). Radi se o recentno opisanoj vrsti polipa koja se ne uklapa u tradicionalnu podjelu kolorektalnih polipa. CMSEP je makroskopski karakteriziran duguljastim, crvolikim izgledom s pokrovom od normalne sluznice debelog crijeva, a mikroskopski sadržava mukozu i ekspandiranu submukozu s dilatiranim krvnim i limfnim žilama. Prema našim saznanjima radi se o prvom slučaju takve vrste u našoj sredini, a s obzirom na očekivani porast kolonoskopija u sklopu Nacionalnog programa za rano otkrivanje kolorektalnog karcinoma, namjeravamo upoznati gastrointestinalne patologe i endoskopičare s ovim rijetkim fenomenom.
Recently a new entity has been described – a colonic muco-submucosal elongated polyp (CMSEP) – that did not fall into traditional classification of colorectal polyps. The CMSEP is endoscopically characterised by elongated, worm-like appearance with a normal overlying mucosa. Histologic characteristics of the CMSEP comprise mucosa and expanded submucosa with dilated vasculature and lymphatics. Herein, we report a case of CMSEP, that to the best of our knowledge, has not been previously described in our literature. With regard to the on-going National colorectal cancer screening programme, our intention is to draw attention of gastrointestinal pathologists and endoscopists to this distinctive and very rare phenomenon.