Skin Tags and Colonic Polyps

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To the editor: We reviewed “Skin Tags: A Cutaneous Marker for Colonic Polyps” by Leavitt and associates (1) in the June issue and found it to have little clinical usefulness. The authors conclude that the sensitivity and specificity of skin tags serving as cutaneous markers for adenomatous colonic polyps are both greater than 75%. In patients referred for colonoscopy, they believe that skin tags may be a means of identifying patients with an increased risk of colonic polyps. The authors suggest that a prospective study is needed to ascertain whether the same conclusion holds true for asymptomatic patients.

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