The colorectal malignant polyp: Scoping a dilemma

Hassan, Cesare; Zullo, Angelo; Winn, Simon; Eramo, A.; Tomao, Silverio; Rossini, F. P.; Morini, Sergio

doi:10.1016/j.dld.2006.06.039

Cited by 28 publications

(26 citation statements)

References 71 publications

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“…dysplasia or carcinoma, can provide practical usefulness at colonoscopy. Moreover, completely resected specimens that enable accurate pathological evaluation are important for these lesions, because part of the endoscopically treated carcinoma may exhibit lymph node metastasis [10,11]. This suggests the usefulness of the knowledge at pathological review.…”

Section: Introductionmentioning

confidence: 98%

Risk factors for high-grade dysplasia or carcinoma in colorectal adenoma cases treated with endoscopic polypectomy

Kurome

Kato

Nawa

et al. 2008

European Journal of Gastroenterology & Hepatology

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Section: Introductionmentioning

confidence: 98%

Risk factors for high-grade dysplasia or carcinoma in colorectal adenoma cases treated with endoscopic polypectomy

Kurome

Kato

Nawa

et al. 2008

European Journal of Gastroenterology & Hepatology

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“…Patients with a malignant polyp on index colonoscopy. These patients usually are managed conservatively or referred for surgical resection according to completeness of the endoscopic excision [14]. Further follow-up depends on the individual.…”

Section: Risk Group Surveillancementioning

confidence: 99%

Secondary Prevention of Colorectal Adenomas: Is There an Optimal Follow-up for Colorectal Adenomas?

Miller

Kariv

2010

Curr Colorectal Cancer Rep

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Colorectal cancer is the second most common cause of cancer-related death in the Western world. Its development is typically through colorectal adenomas. Colorectal cancer prevalence may be reduced substantially by primary prevention including colonoscopy and polypectomy. Secondary prevention applies to populations that have been diagnosed with colorectal adenomas, and its goal is to prevent the development of additional adenomas. It is accomplished mainly by endoscopic surveillance with polypectomy. Additional measures include chemoprevention, used in selected patients only, and modification of risk factors such as smoking, high body mass index, and poor nutrition. This article reviews the current professional guidelines for endoscopic surveillance and adherence by physicians and patients. Measures to increase surveillance efficacy include standardization of colonoscopy among endoscopists and enhanced endoscopy techniques. This article also reviews evidence for the impact of lifestyle modification. It appears that the endoscopic surveillance protocol is often personalized because of the lack of standardization of baseline colonoscopy, suboptimal adherence to the guidelines, and a deficiency in the guidelines with regard to proper risk stratification.

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“…In order not to underestimate the potential benefit of immediate polypectomy, the initial stage distribution for small (6 to 9mm) malignant polyps was assumed to be localized in 95% of cases and regional in 5%, roughly corresponding to pooled data analyses [23,24]. For prevalent small malignant polyps not immediately removed after CTC, we assumed a progressive upstaging related to the delay in cancer diagnosis (see surveillance versus immediate polypectomy for 6-to 9-mm polyps detected in 60-year-old asymptomatic adults undergoing CTC screening.…”

Section: Model Characteristicsmentioning

confidence: 99%

Clinical Management of Small (6- to 9-mm) Polyps Detected at Screening CT Colonography: A Cost-Effectiveness Analysis

Pickhardt

Hassan

Laghi

et al. 2008

American Journal of Roentgenology

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For patients with small (6- to 9-mm) polyps detected at CTC screening, the exclusion of large polyps (> or = 10 mm) already confers a very low risk of CRC. The high costs, additional complications, and relatively low incremental yield associated with immediate polypectomy of 6- to 9-mm polyps support the practice of 3-year CTC surveillance, which allows for selective noninvasive identification of small polyps at risk.

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The colorectal malignant polyp: Scoping a dilemma

Cited by 28 publications

References 71 publications

Risk factors for high-grade dysplasia or carcinoma in colorectal adenoma cases treated with endoscopic polypectomy

Risk factors for high-grade dysplasia or carcinoma in colorectal adenoma cases treated with endoscopic polypectomy

Secondary Prevention of Colorectal Adenomas: Is There an Optimal Follow-up for Colorectal Adenomas?

Clinical Management of Small (6- to 9-mm) Polyps Detected at Screening CT Colonography: A Cost-Effectiveness Analysis

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