What to do when invasive colorectal carcinoma is found in endoscopic resection specimens?

Česká verzia

Authors: P. Vítek ^1,2; I. Kajzrlíková ²; J. Chalupa ²; V. Hořava Jr. ³; A. Hájek ⁴
Authors place of work: Lékařská fakulta, Ostravská Univerzita, Ostrava2Beskydské gastrocentrum, Interní oddělení, Nemocnice ve Frýdku-Místku, p. o. 3Oddělení patologie, Nemocnice ve Frýdku-Místku, p. o. 4Chirurgicko-traumatologické oddělení, Nemocnice ve Frýdku-Místku, p. o. ¹
Published in the journal: Gastroent Hepatol 2011; 65(4): 202-206
Category: Endoscopy: Review Article

Summary

When an invasive colorectal carcinoma is found in a resected endoscopic specimen, the endoscopist must evaluate histopathological and endoscopical resection criteria. Personal risk of the patient and surgical risk should also be taken into account. The majority of cases can be treated by endoscopy alone, possibly completed with local ablation techniques and subsequent follow-up. Surgical resection remains an option only for patients with low surgical risk and adverse histopathological and endoscopical lesion characteristics.

Key words:
endoscopy – digestive system – surgery – colorectal carcinoma

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