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Endoscopic Recognition and Management Strategies for Malignant Colorectal Polyps: Recommendations of the US Multi-Society Task Force on Colorectal Cancer

by Cruise, Michael , Robertson, Douglas J. , Anderson, Joseph C. , Burke, Carol A. , Gupta, Samir , Rex, Douglas K. , Dominitz, Jason A. , Syngal, Sapna , Lieberman, David , Shaukat, Aasma , Kaltenbach, Tonya

in Advisory Committees / Carcinoma - diagnosis / Carcinoma - pathology / Carcinoma - surgery / Classification / Colonic Polyps - diagnosis / Colonic Polyps - pathology / Colonic Polyps - surgery / Colonoscopy / Colorectal cancer / Colorectal Neoplasms - diagnosis / Colorectal Neoplasms - pathology / Colorectal Neoplasms - surgery / Endoscopic Mucosal Resection / Endoscopy / Gastroenterology / Humans / Lymphatic system / Metastasis / Morphology / Narrow Band Imaging / Neoplasm Invasiveness / Patients / Polyps / Societies, Medical / Specimen Handling / Surgery / Task forces / Tumors / United States

2020

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Endoscopic Recognition and Management Strategies for Malignant Colorectal Polyps: Recommendations of the US Multi-Society Task Force on Colorectal Cancer

2020

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Endoscopic Recognition and Management Strategies for Malignant Colorectal Polyps: Recommendations of the US Multi-Society Task Force on Colorectal Cancer

2020

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Journal Article

Endoscopic Recognition and Management Strategies for Malignant Colorectal Polyps: Recommendations of the US Multi-Society Task Force on Colorectal Cancer

Cruise, Michael,

Robertson, Douglas J.,

Anderson, Joseph C.,

Burke, Carol A.,

Gupta, Samir,

Rex, Douglas K.,

Dominitz, Jason A.,

Syngal, Sapna,

Lieberman, David,

Shaukat, Aasma,

Kaltenbach, Tonya

2020

Overview

Specifically, we will discuss 6 key questions that address the following 3 tasks: endoscopic recognition of colorectal polyps with deep submucosal invasion that should be referred directly to surgery; optimal endoscopic resection techniques and specimen handling when an increased risk of superficial submucosally invasive polyp is identified; and weighing the risks and benefits of surgery when an endoscopically removed polyp is found to have submucosal invasion. Grading of Evidence The US Multi-Society Task Force on Colorectal Cancer (USMSTF) consists of gastroenterologists with expertise in colorectal neoplasia (ie, CRC and precursor lesions, such as polyps). According to this classification, malignant polyps would fall under category 5.2 (submucosal carcinoma and beyond).Table 2. [...]the use of terms such as carcinoma or cancer in describing lesions confined to the mucosa may cause undue alarm to endoscopists, surgeons, patients, or primary care providers, and can lead to unnecessary surgery.

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Publisher

Wolters Kluwer,Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins

Subject

Advisory Committees

/ Carcinoma - diagnosis

/ Carcinoma - pathology

/ Carcinoma - surgery

/ Classification

/ Colonic Polyps - diagnosis

/ Colonic Polyps - pathology