Polypectomy scar

A polypectomy scar results from a polypectomy.

General

• Scar alone is difficult to differentiate from scar with cancer.

Microscopic

Features:

• Focal submucosal fibrosis.

DDx:

• Polypectomy scar with adenocarcinoma.
• Focal fibrosis due to other cause.

Images

• 

  CPR - extremely low mag. (WC)

• 

  CPR - very low mag. (WC)

• 

  CPR - low mag. (WC)

Sign out

Should be signed in a non-committal way (e.g. "focal submucosal fibrosis") if no prior pathology is available/specimen is not labelled something like "old polypectomy site".

Right Colon, Terminal Ileum and Appendix, Right Hemicolectomy:
	- Benign mucosal/submucosa scar in compatible with the polypectomy site, correlation recommended, see comment.
	- Iatrogenic tattoo.
	- Terminal ileum within normal limits.
	- Appendix within normal limits.
	- Twenty benign lymph nodes (0 positive/20).
	- NEGATIVE for dysplasia and NEGATIVE for malignancy.

Comment:
The scar was submitted in total.  The location of the scar in relation to the tattoo is documented within the gross. 

It would be useful to confirm that the location of lesion (that prompted the resection) in relation to the tattoo, is the same as the relationship between scar and the tattoo.  

See also

• Polypectomy.