Theme |
Can we change to treat for diminutive colorectal polyp ? |
Title |
Endoscopic diagnosis of minute lesions of the colon |
Publish Date |
2014/05 |
Author |
Yasuhiko Maeyama |
Division of Gastroenterology, Department of Medicine, Department of Endoscopy, Center for Gastroenterology, Kurume University School of Medicine |
Author |
Osamu Tsuruta |
Division of Gastroenterology, Department of Medicine, Department of Endoscopy, Center for Gastroenterology, Kurume University School of Medicine |
Author |
Tetsuhiro Noda |
Division of Gastroenterology, Department of Medicine, Department of Endoscopy, Center for Gastroenterology, Kurume University School of Medicine |
Author |
Shuichiro Nagata |
Division of Gastroenterology, Department of Medicine, Department of Endoscopy, Center for Gastroenterology, Kurume University School of Medicine |
Author |
Hikaru Yoshida |
Division of Gastroenterology, Department of Medicine, Department of Endoscopy, Center for Gastroenterology, Kurume University School of Medicine |
Author |
Michita Mukasa |
Division of Gastroenterology, Department of Medicine, Department of Endoscopy, Center for Gastroenterology, Kurume University School of Medicine |
Author |
Hiroaki Sumie |
Division of Gastroenterology, Department of Medicine, Department of Endoscopy, Center for Gastroenterology, Kurume University School of Medicine |
Author |
Keiichi Mitsuyama |
Division of Gastroenterology, Department of Medicine, Department of Endoscopy, Center for Gastroenterology, Kurume University School of Medicine |
Author |
Michio Sata |
Division of Gastroenterology, Department of Medicine, Department of Endoscopy, Center for Gastroenterology, Kurume University School of Medicine |
[ Summary ] |
Minute (5 mm or less in size) protruding, flat elevated or nodule aggregating neoplastic lesions displayed a low incidence of cancer. The number of protruding and flat elevated lesions observed is high. Minute flat depressed neoplastic lesions exhibit a high incidence of cancer and are low in number. Regardless of macroscopic type, lesions with double elevations and the presense of nodules in the excavated area are associated with sm massive cancer. Consequently, other diagnostic modalities to determine the depth of cancer invasion are mandatory for selection of treatment. |