Author:

Keywords:

Science & Technology, Life Sciences & Biomedicine, Gastroenterology & Hepatology, malignant polyp, risk factors, tumour budding, micro-papillary, degree of invasion, lymphovascular permeation, depth invasion, LYMPH-NODE METASTASIS, ENDOSCOPIC RESECTION, SUBMUCOSAL INVASION, PROGNOSTIC-FACTORS, POOR-PROGNOSIS, T1 CARCINOMA, RISK-FACTORS, CANCER, CLASSIFICATION, METAANALYSIS, micropapillary, Colonic Polyps, Colonoscopy, Colorectal Neoplasms, Humans, Practice Guidelines as Topic, Risk Factors, depth invasion, 1103 Clinical Sciences, 3202 Clinical sciences

Abstract:

Colorectal cancer (CRC) has become the most common malignancy in our country. Routine screening colonoscopy is on the rise. With the recent advances in endoscopic treatment, many T1 colorectal carcinomas are now found and their percentage amenable to endoscopic resection has increased. Endoscopists and pathologists dealing with the steadily increasing number of excised colorectal polyps have to collaborate closely to optimize patient care. Therapeutic management of patients after endoscopic resection is based on precise histological criteria that determine the risk of metastasis and the need for complementary surgery. This paper summarizes the procedures for the macroscopic management of endoscopic excisions and presents the identified risk factors which should be included in a standardized pathology report.