MRCEM Notes

Villous adenoma

Villous adenomas are colonic polyps with the potential for malignant transformation. They characteristically secrete large amounts of mucous, potentially resulting in electrolyte disturbances.

The vast majority are asymptomatic. Possible features:
  • non-specific lower gastrointestinal symptoms
  • secretory diarrhoea may occur
  • microcytic anaemia
  • hypokalaemia
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