CÁC HÌNH THÁI POLYP ĐẠI TRỰC TRÀNG THEO PHÂN LOẠI PARIS VÀ ĐỐI CHIẾU KẾT QUẢ MÔ BỆNH HỌC TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ NĂM 2023-2024

Abstract

Background: The Paris international classification (2002) is a widely adopted system in clinical practice, indicating mucosal lesion types in the gastrointestinal tract with a predisposition for malignancy observed during gastrointestinal endoscopy. Objectives: 1. To ascertain the prevalence of rectal polyp subtypes based on the Paris classification. 2. To correlate the histopathological of colorectal polyps with Paris classification. Materials and methods: A cross-sectional descriptive study was conducted on 188 patients undergoing colonoscopy at Can Tho University of Medicine and Pharmacy Hospital from 2023 to 2024. Lesions were categorized per the Paris classification and subjected to histopathological examination. Results: The 41-65 age group had the highest incidence, with the rectum being the most prevalent site for polyps at 36.7%, solitary polyps at 52.7%, and predominantly 6-9mm polyps at 41.5%. Paris classification type 0-Is was the most frequent at 55.9%. Type 0-Ip exhibited the highest rate of neoplastic lesions at 70.4%. Polyps in the sigmoid colon and those ≥20mm in size demonstrated the highest rate of neoplastic lesions at 80%. Conclusions: Colorectal polyps with a Paris classification of type 0-Ip and larger-sized demonstrated the high rate of neoplastic lesions.