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Clin Colon Rectal Surg
DOI: 10.1055/s-0044-1801381
Review Article

Management of Malignant Colon Polyps

Alex Charboneau
1   Department of Surgery, Virginia Mason Medical Center, Seattle, Washington
,
Joanna K. Law
2   Department of Gastroenterology, Virginia Mason Medical Center, Seattle, Washington
,
Jennifer A. Kaplan
1   Department of Surgery, Virginia Mason Medical Center, Seattle, Washington
› Author Affiliations
Funding None.
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Abstract

Surgically resected stage I colon cancer results in the best possible prognosis for patients diagnosed with colorectal cancer. However, there remains some debate about whether formal oncologic resection is necessary for the earliest of tumors—those detected in a polyp. To best understand whether an oncologic resection is “avoidable” in select cases of patients with a malignant polyp, it is necessary to review the contemporary evidence on endoscopic techniques, risks of lymph node metastasis, and nuances of the decision-making between oncologic resection and surveillance.

Keywords

colon cancer - colon polyp - polypectomy - endoscopic mucosal resection - endoscopic mucosal dissection


Publication History

Article published online:
23 January 2025

© 2025. Thieme. All rights reserved.

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