Presentation
Lesions usually remain small and mostly present in elderly adults with local disease. [tandfonline.com]
[…] with a giant pedunculated mass projecting out of the anal verge that enlarged over 2 years (Fetal Pediatr Pathol 2020 Nov 9 [Epub ahead of print]) 38 year old woman presented at the emergency department after a week of anal pain and 1.5 years of vague [pathologyoutlines.com]
Lesions usually remain small and mostly present in elderly adults w... ...read moreread less [typeset.io]
Morphologically, it is characterized by an exophytic papillary proliferation of squamous cells and… The longitudinal folds present in the upper part of the anal canal. A carcinoma that arises from the anus. [tititudorancea.com]
Entire Body System
- Pain
[…] and 1.5 years of vague anal discomfort (BMJ Case Rep 2010;2010:bcr08.2009.2169) 67 year old woman was admitted to the emergency room with diffuse, cramping abdominal pain of progressive onset (World J Gastroenterol 2009;15:3687) 67 year old man presented [pathologyoutlines.com]
Anal pain can occur before, during, or after a bowel movement. It can range from a mild ache that can get worse over time to pain that is bad enough to restrict daily activities. Anal pain has many causes, most of which are common and treatable. [fascrs.org]
She had experienced similar episodes of intermittent abdominal pain, anal bleeding and persistent perianal pain due to long-standing hemorrhoidal disease over the last 7 years. [wjgnet.com]
But some larger polyps can cause: a small amount of slime (mucus) or blood in your poo (rectal bleeding) diarrhoea or constipation pain in your tummy (abdominal pain) Bowel cancer risk Polyps do not usually turn into cancer. [nhs.uk]
DOI: http://doi.org/10.5334/jbsr.2232 Accepted on 27 Aug 2020 Submitted on 09 Jul 2020 Case History A 36-year-old female was admitted to our hospital with hematuria and left flank pain. Her past medical history was unremarkable. [jbsr.be]
- Swelling
Reactive hyperplastic process of stromal connective tissue, either in isolation or secondary to nearby inflammatory process or mass lesion Analogous to cutaneous skin tags / acrochordons Clinical features Usually asymptomatic, found in isolation as subtle swelling [pathologyoutlines.com]
- Severe Pain
Fissures typically cause severe pain and bleeding with bowel movements. Fissures are quite common in the general population, but are often confused with other causes ... [fascrs.org]
Gastrointestinal
- Fecal Incontinence
WHAT IS FECAL INCONTINENCE? Fecal incontinence (also called anal or bowel incontinence) is the impaired ability to control the passage of gas or stool. This is a common problem, but often not discussed due to embarrassment. [fascrs.org]
incontinence (R15.-) hemorrhoids (K64.-) Other diseases of anus and rectum Clinical Information A non-neoplastic or neoplastic polypoid lesion that arises from the anus. [icd10data.com]
Severe complications include fistula formation, rectal prolapse, and incontinence. [clinicalgate.com]
- Tenesmus
ABSTRACT When fibroephitelia of the anal increase in size and bleed, they can produce tenesmus and a sensation of a foreign body in the anus. Generally, these lesions are surgically excised. [pesquisa.bvsalud.org]
The pain, tenesmus, bloody discharge, and constipation of untreated LGV may mimic Crohn’s disease. In the tertiary stage, anorectal fistulas and strictures may occur in LGV. [clinicalgate.com]
Eyes
- Prolapse
These polyps are considered as one of the differential diagnoses of rectal prolapse. [dr-bull.at]
Severe complications include fistula formation, rectal prolapse, and incontinence. [clinicalgate.com]
Furthermore, they produce symptoms by projecting at the anal orifice during defecation and sometimes require digital repositioning, strongly simulating a rectal prolapse. [wjgnet.com]
K61 Abscess of anal and rectal regions K61.2 Anorectal abscess K61.3 Ischiorectal abscess K61.39 Other ischiorectal abscess K61.4 Intrasphincteric abscess K61.5 Supralevator abscess K62 Other diseases of anus and rectum K62.0 Anal polyp K62.3 Rectal prolapse [icd10data.com]
- Foreign Body Sensation
Symptoms like Pruritus ani”>pruritus, a foreign body sensation, pricking, a nagging sense of incomplete evacuation and heaviness in the anal region are common complaints. [dr-bull.at]
Pruritus, foreign body sensation, mucus discharge, sense of incomplete evacuation and discomfort while sitting are the prevailing symptoms associated with this medical condition. [wjgnet.com]
Urogenital
- Amenorrhea
The patient had normal ongoing pregnancy (31 weeks of amenorrhea). Endoanal examination was normal. Surgical resection was preformed under spinal anesthesia. The specimen measured 21x12x7cm and was covered by the skin. [scienceopen.com]
Workup
Colonoscopy
- Polyps
L'examen histologique a objectivé un polype fibro-épithélial anal sans signe de malignité. Les suites opératoires ont été simples. Anal fibroepithelial polyp is a benign tumor rarely reported during pregnancy. [scienceopen.com]
Histological examination showed anal fibroepithelial polyp without signs of malignancy. [typeset.io]
We report a case of huge and hard anal fibroepithelial polyp with hemorroids misdignosed as cancer. (Korean J Gastrointest Endosc 2005;30:4346) Key Words: Anus, Fibroepithelial polyp, Hemorrhoids 주요어: 항문, 섬유상피 용종, 치핵 [e-ce.org]
We demonstrated characteristic spindle or stellate cells immunohistochemically positive for CD34 in the anal fibroepithelial polyps (24/27, 89%). [onlinelibrary.wiley.com]
The polyps consisted of myxoid or collagenous stroma covered by squamous epithelium. Stromal cells with two or more nuclei were found in 30 polyps (80%). In five cases (12%) these cells showed atypical nuclear features. [pubmed.ncbi.nlm.nih.gov]
Treatment
Treatment As a routine practice, these pathologies were not given any importance. [dr-bull.at]
TREATMENT Removal of colorectal polyps is advised because there is no test to determine if one will turn into cancer. Nearly all polyps can be removed or eliminated during a colonoscopy. Large polyps may require more than one treatment. [fascrs.org]
If the melanoma has spread too far to be removed completely, other treatments may be given. For more on this, see Melanoma Skin Cancer. [cancer.org]
Read more about bowel cancer Treatments for bowel polyps There are several methods for treating polyps. The most common procedure involves physically removing the polyp using a wire loop. This happens during a procedure called a colonoscopy. [nhs.uk]
Crohn’s disease includes medical and surgical treatment. [clinicalgate.com]
Prognosis
Poor maternal prognosis factor was Glasgow score ≤ 8 on admission (p: 0.004). [pesquisa.bvsalud.org]
The prognosis for anal atresia located inferior to the levator ani muscle depends on the presence of functional sphincters and intact sensation. Atresias isolated to the anus, such as imperforate anal membrane, carry the best surgical prognosis. [clinicalgate.com]
What is the prognosis of rectal polyps? People with a history of polyps have an increased risk of developing polyps again in their lifetime and should have regular exams by a physician specially trained to treat diseases of the colon and rectum. [annapoliscolon.com]
PROGNOSIS AFTER TREATMENT Once a colorectal polyp is completely removed, it rarely comes back. However, at least 30% of patients will develop new polyps after removal. [fascrs.org]
Etiology
[…] the anal mucosa due to irritation, infection or injury (BMJ Case Rep 2010;2010:bcr08.2009.2169) Mast cells may play an important role in the pathogenesis, by means of their fibrogenic, fibrolytic and angiogenic activities (Am J Surg Pathol 1998;22:70) Etiology [pathologyoutlines.com]
Although the exact etiology of FEP is unclear, congenital factors and chronic inflammation have been proposed. [jbsr.be]
Epidemiology
Journal Journal ID (nlm-ta): Pan Afr Med J Journal ID (iso-abbrev): Pan Afr Med J Journal ID (publisher-id): PAMJ Title: The Pan African Medical Journal Publisher: The African Field Epidemiology Network ISSN (Electronic): 1937-8688 Publication date (Electronic [scienceopen.com]
Cesarean Section/statistics & numerical data, Eclampsia/epidemiology, Magnesium Sulfate/administration & dosage, Pregnancy Outcome, Adolescent, Adult, Female, Humans, Infant, Newborn, Mali, Maternal Mortality, Perinatal Mortality, Pregnancy, Prognosis [pesquisa.bvsalud.org]
[…] multinucleated, reactive stromal cells commonly seen Terminology Anal tags, anal fibroepithelial polyps, anal skin tags, sentinel tag (refers to hypertrophied papillae at proximal end of an anal fissure or ulcer) ICD coding ICD-10: K62.0 - anal polyp Epidemiology [pathologyoutlines.com]
Benign Tumors and Tumor-like Lesions of the Anus and Anal Canal Hemorrhoids Clinical Features Epidemiologic studies indicate that 4.4% of the population have hemorrhoids, although this figure is likely a gross underestimate because many patients avoid [clinicalgate.com]
Pathophysiology
Gastroenterol 2009;15:3687) M > F (2:1) Usually middle to late adulthood but rare cases have been reported in adolescent patients (Fetal Pediatr Pathol 2020 Nov 9 [Epub ahead of print]) Sites Anal canal, at the base of the anal columns (columns of Morgagni) Pathophysiology [pathologyoutlines.com]
Prevention
The good news is that colorectal cancer is preventable and, if detected early, curable. Dependin... [fascrs.org]
Colonoscopies can actually prevent cancer from developing by removing the polyps before they become cancerous. If a rectal polyp is too large it may require surgical intervention. [annapoliscolon.com]
The anal canal has two ring-shaped muscles (called sphincter muscles) that keep the anus closed and prevent stool from leaking out. The anal canal is about 1-1/2 to 2 inches (about 3 to 5 cm) long and goes from the rectum to the anal verge. [cancer.org]
[…] among sexually active individuals, but cancer does not develop in most patients infected with high-risk genotypes (discussed later).92,93 In most patients, cell-mediated immunity is responsible for clearance of the infection, and neutralizing antibodies prevent [clinicalgate.com]