Donald R. Varner Jr., MD, USAF; Mark W. Wolfe, MD, USAF; Geoffery A. Patrissi, MA
This content is PDF only. Please click on the PDF icon to access.
To the Editor: We read with great interest the recent article by Achkar and Carey (1) and the accompanying editorial by Waye (2). The clinical significance of hyperplastic polyps in the left colon predicting pre-malignant-malignant histology on the right is certainly controversial with the finding by Zauber and colleagues (3) of a relative risk of only 1.2 (not significant). Achkar and Carey report an incidence of neoplastic polyps proximally in 29% of patients with solely hyperplastic polyps on sigmoidoscopic examination. The main concern raised by Waye is that this incidence corresponds very closely to a combined autopsy incidence of 30%
Varner DR, Wolfe MW, Patrissi GA. Colon Polyps in Asymptomatic Persons. Ann Intern Med. 1989;111:187. doi: 10.7326/0003-4819-111-2-187_1
Download citation file:
Published: Ann Intern Med. 1989;111(2):187.
Copyright © 2019 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use