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In some cases, a stepwise removal of multiple synchronous polyps in consecutive endoscopic procedures was described.
Furthermore, the incidence of non-invasive and invasive colorectal carcinoma is higher in patients with multiple synchronous polyps [ 8].
Presence of HGD/adenocarcinoma in the large polyp, localization of any synchronous polyp in the rectosigmoid colon and occurrence of multiple synchronous polyps were associated with presence of HGD/adenocarcinoma in synchronous polyps.
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The majority of patients were found to have synchronous polyps at multiple sites within the colon (222 of 378 cases) and there was a general trend toward occurrence in the proximal colon (see Table 3).
In the majority of cases (243 of 355 colonoscopies), removed synchronous polyps consisted of multiple histological subtypes.
A total of 1487 synchronous polyps were removed.
Thus, the occurrence of synchronous polyps and factors associated with the presence of synchronous polyps are clinically relevant.
Synchronous polyps are frequently found in patients with large flat colonic polyps.
The mean number of polyps of patients with synchronous polyps was 3.8 (range 1 40).
The rate of synchronous polyps was much higher in our cohort (67.4 %), indicating that large polyps are generally associated with synchronous polyps.
In patients with colorectal cancer, occurrence of synchronous polyps correlates with incidence of synchronous and metachronous cancer [ 19].
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