0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Management of Villous Adenomas of the Colon and Rectum

Demetre M. Nicoloff, MD, PhD; Cassius M. Ellis, MD; Edward W. Humphrey, MD, PhD
Arch Surg. 1968;97(2):254-260. doi:10.1001/archsurg.1968.01340020118014.
Text Size: A A A
Published online

HOLMES, a British pathologist, used the term "villous tumor" in 1860, thus dividing the common benign epithelial tumors of the large bowel into two categories, the villous adenoma and the adenomatous polyp. The adenomatous polyp is typically a compact spheroid mass which is usually pedunculated; whereas, the villous adenoma is usually a soft sessile tumor without a pedicle. Grossly villous adenomata range in size from a nodule of 5 mm in diameter to a mass of enormous size which completely encircles the bowel. The tumor is spongy, reddish gray or tan in color, with a broad flat base. It is extremely soft and velvety and is made up of a large number of friable villi or finger-like projections joined at their bases in a pattern which is frequently lobulated. The entire lesion is usually covered by a thick viscid mucous. Microscopically, the surface is made up of multiple tiny villi

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();