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Hall JF. Management of Malignant Adenomas. Clin Colon Rectal Surg. 2015;28(4):215-9doi: 10.1055/s-0035-1564434.
Hall, J. F. (2015). Management of Malignant Adenomas. Clinics in colon and rectal surgery, 28(4), 215-9. https://doi.org/10.1055/s-0035-1564434
Hall, Jason F. "Management of Malignant Adenomas." Clinics in colon and rectal surgery vol. 28,4 (2015): 215-9. doi: https://doi.org/10.1055/s-0035-1564434
Hall JF. Management of Malignant Adenomas. Clin Colon Rectal Surg. 2015 Dec;28(4):215-9. doi: 10.1055/s-0035-1564434. PMID: 26664328; PMCID: PMC4654623.
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Clin Colon Rectal Surg. 2015 Dec;28(4):215-9. doi: 10.1055/s-0035-1564434.

Management of Malignant Adenomas.

Clinics in colon and rectal surgery

Jason F Hall

Affiliations

  1. Department of Colon and Rectal Surgery, Lahey Hospital and Medical Center, Burlington, Massachusetts ; Department of Surgery, Tufts University School of Medicine, Boston, Massachusetts.

PMID: 26664328 PMCID: PMC4654623 DOI: 10.1055/s-0035-1564434

Abstract

Most polyps that originate in the colon and rectum are benign. A small subset of polyps will contain a malignancy. Although most malignant adenomas are managed with colonic resection a number can be approached with endoscopic, minimally invasive, and observational techniques. This article reviews the histologic characteristics and adverse risk factors that would portend a poor oncologic outcome and therefore suggest formal colonic resection. Modern endoscopic techniques such as endoscopic mucosal resection and endoscopic submucosal resection are discussed.

Keywords: Haggitt criteria; adenoma; endoscopic mucosal resection; endoscopic submucosal resection; malignancy; polypectomy

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