ISSN : 2146-3123
E-ISSN : 2146-3131

Serrated Polyposis Syndrome in a Single-Center 10-Year Experience
Hyun Young Kim 1
1Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam-si, Korea
DOI : 10.4274/balkanmedj.2017.0322

Aims: Serrated polyposis syndrome (SPS) is a disease that is often missed in the clinical setting and associated with colorectal cancer (CRC). We investigated the prevalence of SPS and the association between colorectal or other cancers in a 10-year retrospective data analysis.
Methods: We reviewed complete colonoscopy data obtained from January 2005 through January 2015 at a health-screening center. SPS was defined on the basis of the criteria established by the 2010 World Health Organization (WHO).
Results: A total of 53,842 consecutive subjects who performed complete colonoscopy, 12 (0.022%) patients had SPS. All of these cases were under-recognized by the endoscopist or referring physician. The mean patient age was 58.6 years; 67% of the patients were men and 33% were women. No SPS patients had a first-degree relative with SPS. No SPS patients had CRC. Two cases (17%) had extra-colonic cancers (prostate cancer and thyroid cancer). Eight cases (67%) had a family history of cancer (stomach, breast, lung, pancreas, prostate, and colorectal cancer).
Conclusions: SPS was a rare condition in a 10-year database, and it was diagnosed late in all cases. SPS may be associated with an increased risk of extra-colonic cancer.

Keywords: Prevalence, serrated polyposis syndrome, colonoscopy

Keywords : Prevalence, serrated polyposis syndrome, colonoscopy
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