Document Detail


Colorectal cancer surveillance after age 65 years.
MedLine Citation:
PMID:  12657377     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: It would be valuable to determine whether or not asymptomatic patients 60 to 65 years of age with normal colonoscopies should continue to undergo serial colorectal cancer surveillance examinations. METHODS: Data were obtained from retrospective review of our existing database. Additional data were obtained from patients' medical records, office charts, and pathology reports. In situ endoscopic measurements were performed using a biopsy forceps that was 7 mm when fully extended. RESULTS: Over the past 25 years, 699 asymptomatic patients between 60 and 65 years of age underwent colonoscopies which revealed no pathology. As part of their routine continuing colorectal surveillance and without any prior abnormal endoscopic findings, 56 of these patients underwent a total of 123 colonoscopies after age 65. Thirty-seven patients (66%) had surveillance colonoscopies that continued to be normal while 13 patients (23%) were diagnosed with colorectal adenomas and 6 patients (11%) were found to have hyperplastic polyps. No cancers were discovered. CONCLUSIONS: Patients over the age of 65 should continue to undergo colorectal surveillance even if prior examinations have been negative.
Authors:
Daniel L Feingold; Kenneth A Forde
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  185     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-03-26     Completed Date:  2003-05-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  297-300     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, College of Physicians and Surgeons, Columbia University, 177 Fort Washington Ave., MHB 7SK, New York, NY 10032, USA.
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MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma / diagnosis
Adenoma / diagnosis
Aged
Colonic Polyps / diagnosis
Colonoscopy*
Colorectal Neoplasms / diagnosis*
Humans
Mass Screening*
Middle Aged
Population Surveillance
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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