Difference between revisions of "Polypectomy scar"

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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>

*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==

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==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".

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

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Difference between revisions of "Polypectomy scar"

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@@ Line 4: / Line 4: @@
 *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==
@@ Line 22: / Line 30: @@
 ==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".
+The location of any intragenic tattoo(s) should be documented in relation to the suspected scar and correlated with clinical information (if available).
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