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

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...

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Bibliographic Details
Published in:The American journal of gastroenterology Vol. 115; no. 11; pp. 1751 - 1767
Main Authors: Shaukat, Aasma, Kaltenbach, Tonya, Dominitz, Jason A., Robertson, Douglas J., Anderson, Joseph C., Cruise, Michael, Burke, Carol A., Gupta, Samir, Lieberman, David, Syngal, Sapna, Rex, Douglas K.
Format: Journal Article
Language:English
Published: United States Wolters Kluwer 01.11.2020
Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins
Subjects:
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
United States
United States > US
ISSN:0002-9270, 1572-0241, 1572-0241
Online Access:Get full text
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Summary: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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ISSN:0002-9270
1572-0241
1572-0241
DOI:10.14309/ajg.0000000000001013