| The value of colonoscopic surveillance after curative resection for colorectal cancer or synchronous adenomatous polyps. | |
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MedLine Citation:
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PMID: 3675189 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Between 1975 and 1984, 270 patients underwent a potentially curative resection for colorectal carcinoma. One hundred eighty-eight patients (70%) underwent preoperative colonoscopy, of which 129 patients (69%) were followed up with at least two postoperative colonoscopies. In 91 patients (70%), preoperative colonoscopy revealed no synchronous adenomatous polyps or cancer. Synchronous adenomatous polyps were found in 35 patients (27%), and three patients (2.3%) had a synchronous invasive cancer. Nineteen (54%) of the 35 patients with synchronous adenomatous polyps developed metachronous adenomatous polyps during the follow-up period compared with 24 (26%) of 91 patients without synchronous adenomatous polyps. The median interval to the development of metachronous adenomatous polyps was 19 months, and all of these polyps were 1 cm or less in size. Patients with synchronous adenomatous polyps less than 30 cm from the primary lesion (68%) developed metachronous polyps more often than did patients whose synchronous adenomatous polyps were more than 30 cm from the primary lesion (37%). Preoperative colonoscopy is important for determining synchronous pathology and identifying patients at risk for metachronous polyps. |
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Authors:
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G Carlsson; N J Petrelli; H Nava; L Herrera; A Mittelman |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of surgery (Chicago, Ill. : 1960) Volume: 122 ISSN: 0004-0010 ISO Abbreviation: Arch Surg Publication Date: 1987 Nov |
Date Detail:
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Created Date: 1987-11-27 Completed Date: 1987-11-27 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9716528 Medline TA: Arch Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1261-3 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgical Oncology, Roswell Park Memorial Institute, Buffalo, NY 14263. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Colonic Neoplasms / pathology, surgery* Colonic Polyps / pathology, surgery* Colonoscopy* Female Follow-Up Studies Humans Male Middle Aged Neoplasms, Multiple Primary / pathology, surgery* Rectal Neoplasms / pathology, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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