POLYPOID LESIONS OF THE TERMINAL PORTION OF THE COLON

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Abstract
Knowledge of the pathologic manifestations and of the diagnosis of polypoid disease of the colon has progressed, but results of treatment of the condition still are discouraging. Herein fulguration (which we define as a nonsurgical procedure) is described and reasons for its use are given. Also, how the proctologist can aid in combating this grave disease is outlined. Polyps may occur singly or in numbers, and they may be sessile or pedunculated. The entire colon may be involved by polypoid disease; there are grossly two types of this condition. In one type, the polyps are discrete and gross evidence of pathologic change in the intervening tissues is absent. In the other type, there is a diffuse hyperplastic involvement, which may be segmental or total, and many polyps of all types, sizes and shapes are found. Often, no part of the wall of the colon is free from disease. Such complete

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