Juvenile polyp

Topic Completed: 1 August 2012

Minor changes: 26 April 2019

Copyright: 2003-2019,, Inc.

PubMed Search: gastric juvenile polyp

Elliot Weisenberg, M.D.
Page views in 2019: 3,326
Page views in 2020 to date: 1,872
Cite this page: Weisenberg E. Juvenile polyp. website. Accessed August 6th, 2020.
Definition / general
  • Also called retention polyp
  • Part of generalized juvenile polyposis coli or rare gastric subtype, 20 - 50% of patients with syndrome have gastric polyps
  • Syndrome due to genetic dysregulation of TGF-β pathway
  • Associated with increased risk of colorectal and gastric carcinoma
Gross description
  • Smooth surfaced, 1 - 2 cm, short narrow stalk
Microscopic (histologic) description
  • Irregular cysts in lamina propria with normal gastric epithelium
  • Surface and foveolar hyperplasia, may have stromal hemorrhage, surface ulceration and chronic inflammation due to torsion
Microscopic (histologic) images

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Gastric juvenile polyp

Differential diagnosis
  • Hyperplastic polyp: usually background mucosal disease, may need clinical or family history for definitive diagnosis
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