Adenomas containing invasive carcinoma are the majority of early colorectal cancers. In the last 12 years about 3 600 polyps have been removed by colonoscopic polypectomy in 1936 patients. 69 adenomas containing invasive carcinoma have been found in 69 patients. Pathological parameters make it possible to distinguish between high and low risk cases of limphnode metastases. Endoscopic polypectomy alone in low risk patients has been compared to major surgery in high risk cases. 52 low risk cases have been treated only by E.P. ; 17 patients underwent surgery. No distant metastases have been so far evidenced in the polypectomy group ; limphnode metastases have been found at operation in 40 % of high risk cases. The observed results confirm the value of the actual therapeutic policy in low risk patients ; in high risk cases a careful pathological evaluation is mandatory.
|Translated title of the contribution||Adenomas and adenomas containing carcinoma of the large bowel. 12 years experience in endoscopic polypectomy|
|Number of pages||7|
|Publication status||Published - May 1987|
- adenoma containing carcinoma
- endoscopie polypectomy
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging