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Area of Science:

  • Gastroenterology
  • Oncology

Background:

  • Corticosteroid therapy is commonly used for inflammatory conditions like polyarthralgia.
  • Patients on long-term immunosuppression may have altered gastrointestinal polyp development or surveillance needs.

Observation:

  • A 61-year-old woman on chronic corticosteroid treatment presented for routine post-polypectomy surveillance colonoscopy.
  • During the procedure, a 5-mm, flat-elevated polyp (Paris 0-IIa classification) was identified in the proximal transverse colon.

Findings:

  • The presence of a diminutive, flat-elevated polyp in the proximal transverse colon.
  • The polyp was detected during surveillance following a previous polypectomy.

Implications:

  • This case underscores the importance of vigilant colonoscopic surveillance in patients receiving long-term corticosteroid therapy.
  • Further research may be needed to determine if corticosteroid use influences polyp characteristics or growth rates.
  • Optimal surveillance strategies for this patient population warrant consideration.