What type does a polyp without a pedicle in childhood belong to?

Patient's question:

A colleague of mine has a family member. Recently, they heard that the person was diagnosed with juvenile polyps without a stalk. So, they are quite worried. They wanted to ask what category juvenile polyps without a stalk belong to?

Doctor's answer:

Young polyps are usually pedunculated. Only very small polyps do not have a stalk. They are slender and lack muscle. The size of polyps is typically 1-3 cm. Some polyps smaller than 1 cm have a spherical or nodular head. They also have segmentation. They are mostly red. They are usually accompanied by erosion or superficial ulcers. Histologically, polyps are mucosal. The lesions include dilatation of the lamina propria, mucin-filled, cystic dilatation, and inflammatory cell adenomas. They contain well-differentiated mucin cells, markedly widened stroma, and a large amount of connective tissue. They contain a large number of vessels and inflammatory cells. Occasionally, a small amount of smooth muscle cells are found, which are caused by glandular dilatation and rupture. Plasmacyte-induced foreign body giant cell reaction.

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