Pathology of Inflammatory Polyps
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Questions and Answers

What is the primary cause of tufting on the polyp surface?

  • Inflammatory response
  • Chronic constipation
  • Mucosal prolapse
  • Epithelial overcrowding (correct)
  • What is the characteristic feature of the epithelial cells on the polyp surface?

  • Irregular tufting (correct)
  • Complete absence
  • Regular tufting
  • Uniform layering
  • What is the characteristic architectural feature of crypts cut in cross-section in hyperplastic polyps?

  • Proliferative architecture
  • Serrated architecture (correct)
  • Fibrous architecture
  • Glandular architecture
  • What is the primary cause of inflammatory polyp formation?

    <p>Chronic cycles of injury and healing</p> Signup and view all the answers

    What is a characteristic histological feature of inflammatory polyps?

    <p>Mixed inflammatory infiltrates</p> Signup and view all the answers

    What is the indication of mucosal prolapse in inflammatory polyps?

    <p>Smooth muscle hyperplasia within the lamina propria</p> Signup and view all the answers

    What is the average age of onset for Peutz-Jeghers syndrome?

    <p>11 years</p> Signup and view all the answers

    What is the lifetime risk of malignancies associated with Peutz-Jeghers syndrome?

    <p>40%</p> Signup and view all the answers

    What is the characteristic feature of Peutz-Jeghers polyps under histology?

    <p>Complex glandular architecture</p> Signup and view all the answers

    What is the recommended surveillance for individuals with Peutz-Jeghers syndrome?

    <p>Regular surveillance at various stages of life</p> Signup and view all the answers

    What is the most common location of Peutz-Jeghers polyps?

    <p>Small intestine</p> Signup and view all the answers

    What is the name of the gene associated with familial Peutz-Jeghers syndrome?

    <p>STK11</p> Signup and view all the answers

    What is the characteristic of serrated adenomas?

    <p>Has malignant potential</p> Signup and view all the answers

    Which type of adenoma is more likely to harbor cancer?

    <p>Villous</p> Signup and view all the answers

    What is the correlation between the size of an adenoma and its malignancy?

    <p>Adenomas over 4 cm are more likely to be malignant</p> Signup and view all the answers

    What is a risk factor for cancer in an individual polyp?

    <p>High-grade dysplasia</p> Signup and view all the answers

    What is the primary defect in the MSI pathway?

    <p>Defect in DNA mismatch repair</p> Signup and view all the answers

    What is the most common type of colonic cancer?

    <p>Adenocarcinoma</p> Signup and view all the answers

    What is the characteristic of tumors in the proximal colon?

    <p>Polypoid, exophytic mass</p> Signup and view all the answers

    What is the typical clinical feature of right-sided colon cancer?

    <p>Fatigue, weakness, and iron deficiency anemia</p> Signup and view all the answers

    What is the characteristic of the stromal reaction in colorectal carcinoma?

    <p>Desmoplasia with firm consistency</p> Signup and view all the answers

    What is the histologic feature of well-differentiated adenocarcinoma?

    <p>Elongated, hyperchromatic nuclei</p> Signup and view all the answers

    What is the most important prognostic factor in adenocarcinoma of the colon?

    <p>Depth of invasion and lymph node metastasis</p> Signup and view all the answers

    What is the most common type of tumor that occurs in the appendix?

    <p>Well-differentiated neuroendocrine tumor</p> Signup and view all the answers

    What is the common site of distant metastasis in adenocarcinoma of the colon?

    <p>Liver and lungs</p> Signup and view all the answers

    What is the characteristic feature of mucinous adenocarcinoma?

    <p>Extracellular mucin pools</p> Signup and view all the answers

    According to the AJCC TNM classification, what is used for staging of colorectal carcinoma?

    <p>Depth of invasion and lymph node metastasis</p> Signup and view all the answers

    What is Pseudomyxoma peritonei?

    <p>Tumor of the appendix in which Mucin with malignant cells spreading through the peritoneal cavity</p> Signup and view all the answers

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