Intestinal Polyps and Polyposis: From Genetics to Treatment by G.G. Delaini, Tomas Skricka, Gianluca Colucci, John Nicholls

By G.G. Delaini, Tomas Skricka, Gianluca Colucci, John Nicholls

These days, we're dealing extra often with the entity of enormous gut polyps, as endoscopy and bowel melanoma screening programmes are speedily increasing. frequently a unmarried polyp is concerned, yet extra advanced events also are encountered, together with the well-defined development of polyposis. those events can fall right into a grey region, not just for prognosis, but in addition for the right kind remedy and follow-up. New advancements in pathophysiology and treatment plans are resulting in new questions. This instruction manual goals to supply a built-in method for all physicians (doctors) who take care of those matters, by means of featuring up to date dialogue from genetics via remedy, to implications of genetic counseling. it's going to additionally aid experts to supply extra "evidence-based" remedies, by way of imposing the easiest medical person judgement educated through the simplest present medical proof.

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Extra info for Intestinal Polyps and Polyposis: From Genetics to Treatment and Follow-up

Sample text

Invasive cancer arising in a sessile adenoma is, by definition, a level IV lesion (Fig. 17). In sessile and semi-sessile adenomas there will most likely be an invasion into the submucosa of the bowel wall, and the patient will therefore be at higher risk for metastasis compared to early invasive carcinomas arising in pedunculated adenomas [8]. 3 Measuring the Level of Submucosal Invasion Extension into the submucosal layer may be expressed by micrometric measurement of depth and width of 32 S. Pecori et al.

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65. Lipper S, Kahn LB, Ackerman LV (1983) The significance of microscopic invasive cancer in endoscopically removed polyps of the large bowel. A clinicopathologic study of 51 cases. Cancer 52:1691–1699. 66. Compton CC (1999) Pathology report in colon cancer: what is prognostically important? Dig Dis 17:67–79. 2 Pathological Features of Sporadic Colonic Adenoma 67. Cooper HS (1983) Surgical pathology of endoscopically removed malignant polyps of the colon and rectum. Am J Surg Pathol 7:613–623. 68.

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