the Differences Between Gastric Adenomatous Polyps and Adenomatous Polyps - Gastroenterology and Hepatology

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Dear Patient,
Thank you for your inquiry regarding the differences between gastric "adenomatous polyps" and "glandular polyps." Understanding these terms is crucial for assessing the health implications of your mother's condition.

Definitions and Differences:
1. Glandular Polyps (Fundic Gland Polyps): These are typically benign lesions found in the stomach, particularly in the fundus (the upper part of the stomach). They are often associated with conditions such as chronic gastritis or the long-term use of proton pump inhibitors (PPIs). Glandular polyps are characterized by the proliferation of foveolar cells, which are the cells lining the stomach. They usually do not carry a significant risk of cancer, especially when they are small and few in number.
2. Adenomatous Polyps: In contrast, adenomatous polyps are considered precursors to gastric cancer. They are neoplastic lesions, meaning they arise from the abnormal growth of cells and have the potential to undergo malignant transformation. Adenomatous polyps can be classified into tubular, tubulovillous, and villous types, with the latter two having a higher risk of cancer. The presence of adenomatous polyps in the stomach is a more serious finding and typically warrants closer surveillance and possibly removal.

Clinical Implications:
If your mother's health check indicated the presence of "glandular polyps," it is generally a reassuring finding, especially if they are small and few in number. However, if the report mentions "adenomatous polyps," this would be a cause for concern, as it suggests a potential risk for developing gastric cancer.
In your case, since you mentioned "腺樣瘜肉" (glandular polyp), it is likely referring to the benign type. However, it is essential to clarify this with her healthcare provider, as terminology can sometimes vary, and the context of the findings is crucial.

Recommendations:
1. Follow-Up: Regular surveillance through endoscopy may be recommended, especially if there are multiple polyps or if there are any changes in symptoms. The frequency of follow-up will depend on the size and number of polyps and any associated risk factors.

2. Family History: If there is a family history of gastric cancer or polyps, it may be prudent to discuss this with her physician, as it could influence the management plan.

3. Lifestyle Modifications: Encourage a healthy diet rich in fruits, vegetables, and whole grains, and limit processed foods and red meats, as these dietary choices may help reduce the risk of polyp formation.

4. Medication Review: If your mother is on PPIs or any other medications, it may be worth discussing with her doctor whether these are necessary, as long-term use can be associated with certain types of gastric polyps.

In conclusion, while glandular polyps are generally benign and not a cause for alarm, adenomatous polyps require more careful consideration. I recommend discussing the pathology report in detail with your mother's gastroenterologist to understand the specific findings and the best course of action.

Best wishes for your mother's health, and do not hesitate to reach out for further clarification or assistance.

Sincerely,
Doctor Q&A Teams