Description
A length of large intestine showing six pedunculated polyps; these range in size from less than 1cm
to approximately 2.5cm, and the length of the stalk is in proportion. The intervening mucosa
appears normal.
History
This man presented with anaemia, and was found to have a carcinoma of the colon on
radiological examination. The colon was removed and sent for pathologic assessment. The tumour
extended through the full thickness of the colonic wall. Elsewhere there were scattered polyps
including tiny (4mm) sessile dome-shaped nodules (likely hyperplastic polyps) as well as larger
pedunculated (likely adenomatous) polyps, the largest measuring 3.5cm. The patient was also
found to have a carcinoma of the kidney, and thrombosis of the left adrenal vein producing areas
of haemorrhage and necrosis in the adrenal cortex.