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Dermatopathology: Practical & Conceptual July - September 2007
>
7. General Pathology: What is the true nature of colonic adenoma?—Part I: Confusion and controversy—a historical literature review
Masoud Asgari, M.D.
Sheng Chen, M.D., Ph.D.
Introduction
Selected quotations
Earliest descriptions of colonic polyps
Benign, premalignant, or malignant?
Confusing terminology
Unsatisfactory classification of colonic polyps
Comment
Summary
References
SEE ALSO
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colonic adenoma
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Earliest descriptions of colonic polyps
The earliest descriptions of polypoid lesions in the colon date back to the 18th century. Menzel, in 1721, was the first to make reference to a "colonic polyp," when he described what most likely was an "inflammatory polyp" of the colonic mucosa showing evidence of pronounced inflammation and probably originating in the context of ulcerative colitis. [
9
] The article included a drawing showing a segment of colon with 15 elevated mucosal excrescences found in a 15-year-old boy at postmortem examination, who died of dysentery. Leautaud, Lange, Schmucker, Felizet, and Branca were others to report on similar lesions in the year 1760. [
10
] The matter of colonic polyps was paid attention again 70 year later, when Wagner [
11
] in 1832 reported on 20 tiny polyps as a complication of healed ulcers, but the first accurate description was given in 1841 [
12
] by Stoltz who published the first comprehensive article about rectal polyps in children.
The first patient with adenomatosis polyposis most likely was recorded by Corvisart in the year 1847. [
13
] He elaborated on hypertrophied features encountered in the anatomy specimen of a 22-year-old male with more than 20 excrescences in the ascending colon. The first extensive accounts of this disease, however, were given by Chargelaigue [
14
] in 1859, who told of a 16-year-old girl and a 21-year-old man with different numbers of colonic polyps. None of the authors made mention of cancerous changes in such lesions. By 1881, Woodward described lesions in the colon of a 44-year-old female as the result of long-term inflammation and named them as "pseudopolyps." [
15
]
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