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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Veröffentlicht in:The American journal of gastroenterology Jg. 115; H. 11; S. 1751 - 1767
Hauptverfasser: 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
Sprache:Englisch
Veröffentlicht: United States Wolters Kluwer 01.11.2020
Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins
Schlagworte:
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-Zugang:Volltext
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Abstract 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.
AbstractList 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.
Author 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
AuthorAffiliation Cleveland Clinic, Cleveland, Ohio
Veterans Affairs San Francisco, University of California-San Francisco, San Francisco, California
Indiana University School of Medicine, Indianapolis, Indiana
AuthorAffiliation_xml – name: Cleveland Clinic, Cleveland, Ohio
– name: Veterans Affairs San Francisco, University of California-San Francisco, San Francisco, California
– name: Indiana University School of Medicine, Indianapolis, Indiana
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  givenname: Aasma
  surname: Shaukat
  fullname: Shaukat, Aasma
  organization: Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota
– sequence: 2
  givenname: Tonya
  surname: Kaltenbach
  fullname: Kaltenbach, Tonya
  organization: Veterans Affairs San Francisco, University of California-San Francisco, San Francisco, California
– sequence: 3
  givenname: Jason A.
  surname: Dominitz
  fullname: Dominitz, Jason A.
  organization: Veterans Affairs Puget Sound Health Care System, Seattle, Washington
– sequence: 4
  givenname: Douglas J.
  surname: Robertson
  fullname: Robertson, Douglas J.
  organization: Vetearns Affairs Medical Center, White River Junction, Vermont
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  givenname: Joseph C.
  surname: Anderson
  fullname: Anderson, Joseph C.
  organization: Vetearns Affairs Medical Center, White River Junction, Vermont
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  givenname: Michael
  surname: Cruise
  fullname: Cruise, Michael
  organization: Cleveland Clinic, Cleveland, Ohio
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  givenname: Carol A.
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  organization: Cleveland Clinic, Cleveland, Ohio
– sequence: 8
  givenname: Samir
  surname: Gupta
  fullname: Gupta, Samir
  organization: San Diego Veterans Affairs Medical Center, San Diego, California
– sequence: 9
  givenname: David
  surname: Lieberman
  fullname: Lieberman, David
  organization: Portland Veterans Affairs Medical Center, Portland, Oregon
– sequence: 10
  givenname: Sapna
  surname: Syngal
  fullname: Syngal, Sapna
  organization: Brigham and Women's Hospital, Boston, Massachusetts
– sequence: 11
  givenname: Douglas K.
  surname: Rex
  fullname: Rex, Douglas K.
  organization: Indiana University School of Medicine, Indianapolis, Indiana
BackLink https://www.ncbi.nlm.nih.gov/pubmed/33156093$$D View this record in MEDLINE/PubMed
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SSID ssj0015275
Score 2.4959567
Snippet Specifically, we will discuss 6 key questions that address the following 3 tasks: endoscopic recognition of colorectal polyps with deep submucosal invasion...
SourceID proquest
pubmed
crossref
wolterskluwer
SourceType Aggregation Database
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StartPage 1751
SubjectTerms 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
Title Endoscopic Recognition and Management Strategies for Malignant Colorectal Polyps: Recommendations of the US Multi-Society Task Force on Colorectal Cancer
URI https://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00000434-202011000-00009
https://www.ncbi.nlm.nih.gov/pubmed/33156093
https://www.proquest.com/docview/2507459994
https://www.proquest.com/docview/2458036392
Volume 115
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