Abstract |
The incidence and mortality rates from right-sided colorectal cancers ( CRCs) have not decreased, compared with the significant reduction of CRCs in the left colon in recent years. It is likely that a significant proportion of right-sided CRCs evolve from undetected sessile serrated adenomas/ polyps (SSA/Ps) in the primary colonoscopy. Increasing evidences suggest that SSA/Ps are high-risk lesions, with 15% of the SSA/P patients developing subsequent CRCs or adenomas with high-grade dysplasia. However, there are many issues in the screening, management and surveillance of SSA/Ps. Based on new evidences, this review addresses major issues in the diagnostic criteria for the serrated polyps of the colorectum, new endoscopic techniques (high-resolution magnifying endoscopy, narrow-band imaging, autofluorescence imaging, confocal laser endoscopy, and endocytoscopy) for the realtime identification of SSA/Ps, and the management of SSA/Ps by endoscopic mucosal resection, endoscopic sub-mucosal dissection or surgical resection in practice.
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Authors | Xiangsheng Fu, Ye Qiu, Yali Zhang |
Journal | International journal of clinical and experimental pathology
(Int J Clin Exp Pathol)
Vol. 7
Issue 4
Pg. 1275-85
( 2014)
ISSN: 1936-2625 [Electronic] United States |
PMID | 24817924
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Review)
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Topics |
- Adenoma
(diagnosis, epidemiology, surgery)
- Colon
(pathology, surgery)
- Colonic Polyps
(diagnosis, epidemiology, surgery)
- Colorectal Surgery
- Disease Management
- Early Detection of Cancer
(methods)
- Endoscopy, Gastrointestinal
- Epidemiological Monitoring
- Humans
- Incidence
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