Abstract
To minimize the risk for interval cancer after colonoscopy, we aim to improve detection of small (<10 mm) and minute (<5 mm) flat-type neoplasias and often inconspicuous lateral spreading tumors in the colon. You need to distinguish neoplastic lesions differing in malignant potential and rate of progression in order to stratify surveillance intervals for follow-up. We focus on image-enhanced endoscopic distinction of (a) nonneoplastic lesions versus neoplasias and (b) intramucosal or superficial submucosa-invasive (sm1) neoplasias versus deep submucosa-invasive (sm2-3) early cancer. Endoscopic criteria allow defining (a) the lateral margins of flat neoplasias and (b) the likely grade of invasion-both required to decide indications for endoscopic en bloc resection or resective surgery.
| Original language | English |
|---|---|
| Title of host publication | Early Neoplasias of the Gastrointestinal Tract: Endoscopic Diagnosis and Therapeutic Decisions |
| Publisher | Springer US |
| Pages | 193-239 |
| Number of pages | 47 |
| ISBN (Print) | 9781461482925, 1461482917, 9781461482918 |
| DOIs | |
| Publication status | Published - 2013 Jul 1 |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
Colorectum : Mucosal neoplasias. / Berr, Frieder; Uraoka, Toshio; Yahagi, Naohisa.
Early Neoplasias of the Gastrointestinal Tract: Endoscopic Diagnosis and Therapeutic Decisions. Springer US, 2013. p. 193-239.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Colorectum
T2 - Mucosal neoplasias
AU - Berr, Frieder
AU - Uraoka, Toshio
AU - Yahagi, Naohisa
PY - 2013/7/1
Y1 - 2013/7/1
N2 - To minimize the risk for interval cancer after colonoscopy, we aim to improve detection of small (<10 mm) and minute (<5 mm) flat-type neoplasias and often inconspicuous lateral spreading tumors in the colon. You need to distinguish neoplastic lesions differing in malignant potential and rate of progression in order to stratify surveillance intervals for follow-up. We focus on image-enhanced endoscopic distinction of (a) nonneoplastic lesions versus neoplasias and (b) intramucosal or superficial submucosa-invasive (sm1) neoplasias versus deep submucosa-invasive (sm2-3) early cancer. Endoscopic criteria allow defining (a) the lateral margins of flat neoplasias and (b) the likely grade of invasion-both required to decide indications for endoscopic en bloc resection or resective surgery.
AB - To minimize the risk for interval cancer after colonoscopy, we aim to improve detection of small (<10 mm) and minute (<5 mm) flat-type neoplasias and often inconspicuous lateral spreading tumors in the colon. You need to distinguish neoplastic lesions differing in malignant potential and rate of progression in order to stratify surveillance intervals for follow-up. We focus on image-enhanced endoscopic distinction of (a) nonneoplastic lesions versus neoplasias and (b) intramucosal or superficial submucosa-invasive (sm1) neoplasias versus deep submucosa-invasive (sm2-3) early cancer. Endoscopic criteria allow defining (a) the lateral margins of flat neoplasias and (b) the likely grade of invasion-both required to decide indications for endoscopic en bloc resection or resective surgery.
UR - http://www.scopus.com/inward/record.url?scp=84929692529&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84929692529&partnerID=8YFLogxK
U2 - 10.1007/978-1-4614-8292-5_10
DO - 10.1007/978-1-4614-8292-5_10
M3 - Chapter
SN - 9781461482925
SN - 1461482917
SN - 9781461482918
SP - 193
EP - 239
BT - Early Neoplasias of the Gastrointestinal Tract: Endoscopic Diagnosis and Therapeutic Decisions
PB - Springer US
ER -