Surgical management of malignant colonic polyps often suboptimal
نویسندگان
چکیده
منابع مشابه
Pathology of colonic polyps as it relates to surgical management.
A large variety of polypoid tumors of the colon exist. Regardless of the type, those under one cm may be treated conservatively. Of the adenomatous polyps, the large sessile adenoma, villous or otherwise, is best handled by segmental resection or by complete excision followed later by radical surgery if indicated by further pathologic examination. The presence of a pedicle is no guarantee of th...
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Malignant polyp is a term that is used when a polyp is removed by colonoscopy that appears grossly benign but has adenocarcinoma identified histologically (Fig. 1). The clinical issues in this setting are more difficult than in a patient who has had a surgical resection because of a large sessile polyp or suspected malignancy where a surgical specimen and adjacent lymph nodes are available for ...
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Fourteen patients with chronic constipation due to colonic inertia were treated with total abdominal colectomy and ileorectal anastomosis at the Cleveland Clinic Foundation from 1981 to 1986. All patients were white women ranging in age from 28 to 64 years (mean 41 years). The duration of symptoms averaged 21 years (range six to 47 years) and the average time between bowel movements was ten day...
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Traditionally, patients with colonic polyps not amenable to endoscopic removal require open colectomy for management. We evaluated our experience with minimally invasive approaches including endoscopic mucosal resection (EMR), laparoscopic-assisted endoscopic polypectomy (LAEP), and laparoscopic-assisted colectomy (LAC). Patients referred for surgery for colonic polyps were selected for one of ...
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Background: Routine screening colonoscopy is on the rise and pathologists have to deal with the ever larger numbers of excised colonic polyps. It is very important to optimize the patients’ individual treatment and further surveillance. Pathologists play a critical role in management, as most of the clinical decisions concerning colonic polyp managemen...
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ژورنال
عنوان ژورنال: CA: A Cancer Journal for Clinicians
سال: 2011
ISSN: 0007-9235
DOI: 10.3322/caac.20109