Neoplastic Colonic Polyp Khalid

Neoplastic Colonic Polyps Dr. Saud Al-Subaie Department of Surgery Amiri Hospital Monday 17/04/2006

Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Classification of polyps ,[object Object],[object Object],[object Object],[object Object],Neoplastic Non- Neoplastic

Epidemiology 10.5% (100 %) Weighted chance 40 % 10 % Villous adenoma 22% 15 % Tubulovillous 5% 75% Tubular adenoma % Malignant Prevalence TYPE

Size and % of Ca 54% 10% 10% Villous 45% 9% 4% Tubulo-villous 34% 10% 1 % Tubular > 2cm 1-2 cm < 1cm

Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Endoscopic Management ,[object Object],[object Object],[object Object],[object Object],[object Object]

Adenoma With Ca Adenoma With Ca

What is next ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Malignant Polyp ,[object Object],[object Object],[object Object],[object Object],[object Object]

Haggitt Highest Invasion of submucosa, not the muscularis propria, sessile polyp 4 Moderate Invasion of the (MM)& polyp stalk 3 Low Invasion of the (MM) & polyp neck 2 None Invasion of the (MM) & polyp head 1 None No invasion of the muscularis mucosa (MM), carcinoma in situ 0 Risk of LN mets Histologic description level

Histologic assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Histological assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cesare Hassan et al ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dis Colon Rectum 2005

Cesare Hassan et al ,[object Object],[object Object],[object Object],[object Object],Dis Colon Rectum 2005

Cesare Hassan et al ,[object Object],[object Object],Dis Colon Rectum 2005

Sitz et al ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dis Colon Rectum 2004

Sitz et al ,[object Object],[object Object],[object Object],Dis Colon Rectum 2004

Volk / Fazio ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gastroenterology 1995

Operative Management ,[object Object],[object Object],[object Object],Malignant rectal polyps Anatomic resection with removal of adjacent LN Malignant / incompletely excised / Suspicious polyp - Colotomy+ Polypectomy - Segmental Resection Benign polyp(>3cm can’t be managed endoscopically) Surgical options Type of polyp

Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

“ Colon cancer can only be found if looked for. And it can only be cured if found early.”

Neoplastic Colonic Polyp Khalid

Recommandé

Recommandé

Contenu connexe

Tendances

Tendances (20)

En vedette

En vedette (20)

Similaire à Neoplastic Colonic Polyp Khalid

Similaire à Neoplastic Colonic Polyp Khalid (20)

Dernier

Dernier (20)

Neoplastic Colonic Polyp Khalid