Guidelines for an optimal management of a malignant colorectal polyp. What is essential in a pathology report ?
| Journal | Volume 83 - 2020 |
| Issue | Fasc.1 - Case series |
| Author(s) | H. Dano 1, P. Baldin 1, P. Demetter 2, A. Driessen 3, A. Hoorens 4, X. Sagaert 5, J. Van Huysse 6, L. Verset 2, A. Jouret-Mourin 1 |
| Full article |
 PAGES 53-59 VIEW FREE PDF |
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Affiliations: (1) Department of Pathology, Cliniques Universitaires St Luc, UCL, Brussels, Belgium
(2) Department of Pathology, Institut Jules Bordet, Université libre de Bruxelles (ULB), Brussels, Belgium (3) Department of Pathology University Hospital Antwerp, University Antwerp, Edegem, Belgium (4) Department of Pathology, University Hospital Ghent, Ghent, Belgium (5) Department of Pathology, KUL, Leuven (6) Department of Pathology, AZ Sint Jan, Brugge, Belgium |
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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 Keywords: malignant polyp, risk factors, tumour budding, micropapillary, degree of invasion, lymphovascular permeation, depth invasion. |
| The authors declare that they have no conflict of interest. |
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© Acta Gastro-Enterologica Belgica. PMID 32233272 |
