Case Report
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World J Gastroenterol. May 21, 2010; 16(19): 2443-2447
Published online May 21, 2010. doi: 10.3748/wjg.v16.i19.2443
Filiform polyposis in the sigmoid colon: A case series
Chang Geun Lee, Yun Jeong Lim, Jong Sun Choi, Jin Ho Lee
Chang Geun Lee, Yun Jeong Lim, Jong Sun Choi, Jin Ho Lee, Department of Internal Medicine, Dongguk University-Seoul, Graduate School of Medicine, Goyang 411-773, South Korea
Author contributions: Lim YJ and Lee CG contributed equally to this work; Lim YJ and Lee CG contributed to concept, design, analysis and interpretation of data, and literature review; Lee JH contributed to revision and reporting of the cases; Choi JS examined and reviewed pathologic findings of all cases.
Correspondence to: Yun Jeong Lim, MD, Department of Internal Medicine, Dongguk University-Seoul, Graduate School of Medicine, Goyang 411-773, South Korea. limyj@duih.org
Telephone: +82-31-9617133 Fax: +82-31-9617009
Received: January 10, 2010
Revised: February 14, 2010
Accepted: February 21, 2010
Published online: May 21, 2010
Abstract

Filiform polyposis is a rare condition of uncertain pathogenesis that is usually found in association with Crohn’s disease, ulcerative colitis, intestinal tuberculosis or histiocytosis X. We report seven interesting cases of polyposis with various pathologic components, mainly located in the left side of the colon with no associated inflammatory bowel disease, intestinal tuberculosis or histiocytosis X. Multiple finger-like polypoid lesions with the appearance of stalactites were noted on the left side of the colon, especially in the sigmoid area, at the time of colonoscopy. The polyps had a variety of sizes and shapes and were shown to have various histopathologic components among the different patients. Although filiform polyposis localized in the sigmoid colon appears not to have high oncogenic potential, periodic follow-up seems to be needed.

Keywords: Filiform polyposis; Sigmoid colon; Inflammatory bowel disease