The Malignant Polyp - When to Operate: The St. Mark’s Experience

The world literature on malignant polyps suggests that those removed endoscopically with recognized favorable histological features for conservative management have excellent prognoses without surgery. Many sessile or 'uncertainly removed' malignant polyps after endoscopic polypectomy also...

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Main Authors: Christopher B Williams, John M Geraghty
Format: Article
Language:English
Published: Wiley 1990-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1990/627894
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author Christopher B Williams
John M Geraghty
author_facet Christopher B Williams
John M Geraghty
author_sort Christopher B Williams
collection DOAJ
description The world literature on malignant polyps suggests that those removed endoscopically with recognized favorable histological features for conservative management have excellent prognoses without surgery. Many sessile or 'uncertainly removed' malignant polyps after endoscopic polypectomy also show no evidence of residual cancer, suggesting that referral for surgical resection is not invariably in the best interests of elderly or poor surgical risk patients. St Mark's experience of five year follow-up of 62 patients with malignant polyps judged 'completely excised' showed three cancer-related deaths (of uncertain primary) in 78- to 81-year-old patients. Of 18 patients with malignant polyps 'incompletely excised,' seven had no cancer found at surgery, 10 were well without surgery and one died from carcinomatosis following delayed surgery. These generally encouraging results are further evidence that 'knee jerk surgery' for malignant polyps is inappropriate.
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series Canadian Journal of Gastroenterology
spelling doaj-art-79ed657ed76949b0bc817e245bee94de2025-02-03T01:07:25ZengWileyCanadian Journal of Gastroenterology0835-79001990-01-014954955310.1155/1990/627894The Malignant Polyp - When to Operate: The St. Mark’s ExperienceChristopher B WilliamsJohn M GeraghtyThe world literature on malignant polyps suggests that those removed endoscopically with recognized favorable histological features for conservative management have excellent prognoses without surgery. Many sessile or 'uncertainly removed' malignant polyps after endoscopic polypectomy also show no evidence of residual cancer, suggesting that referral for surgical resection is not invariably in the best interests of elderly or poor surgical risk patients. St Mark's experience of five year follow-up of 62 patients with malignant polyps judged 'completely excised' showed three cancer-related deaths (of uncertain primary) in 78- to 81-year-old patients. Of 18 patients with malignant polyps 'incompletely excised,' seven had no cancer found at surgery, 10 were well without surgery and one died from carcinomatosis following delayed surgery. These generally encouraging results are further evidence that 'knee jerk surgery' for malignant polyps is inappropriate.http://dx.doi.org/10.1155/1990/627894
spellingShingle Christopher B Williams
John M Geraghty
The Malignant Polyp - When to Operate: The St. Mark’s Experience
Canadian Journal of Gastroenterology
title The Malignant Polyp - When to Operate: The St. Mark’s Experience
title_full The Malignant Polyp - When to Operate: The St. Mark’s Experience
title_fullStr The Malignant Polyp - When to Operate: The St. Mark’s Experience
title_full_unstemmed The Malignant Polyp - When to Operate: The St. Mark’s Experience
title_short The Malignant Polyp - When to Operate: The St. Mark’s Experience
title_sort malignant polyp when to operate the st mark s experience
url http://dx.doi.org/10.1155/1990/627894
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