'Hyperplastic Polyposis' Study:
Report Form

If you wish to report a case of 'Hyperplastic Polyposis' please read the protocol by clicking on the link below. Please enter your details - these are used solely for monitoring purposes by the BSG - and press the submit button. Please complete a separate form for each patient you wish to report.

Your details:  
Name:
Email:
Position:
Hospital:
 
Address 1:
Address 2:
Address 3:
Address 4:
Patient information:
Age:
Sex:
No of Hyperplastic Polyps:
Number in proximal colon (SF to CM):
Number in distal colon (DC & SC):
Number in rectum:
Total number of large ones:
Presence of colorectal cancer:
All data submitted is confidential and will be anonymised. Your details will be logged on the BSG Research Database for monitoring purposes only.