Management of Malignant Colon Polyps

Abstract

Surgically resected stage I colon cancer results in the best possible prognosis for patients diagnosed with colorectal cancer. However, there remains some debate about whether formal oncologic resection is necessary for the earliest of tumors—those detected in a polyp. To best understand whether an oncologic resection is “avoidable” in select cases of patients with a malignant polyp, it is necessary to review the contemporary evidence on endoscopic techniques, risks of lymph node metastasis, and nuances of the decision-making between oncologic resection and surveillance.

Keywords

colon cancer - colon polyp - polypectomy - endoscopic mucosal resection - endoscopic mucosal dissection

Publication History

Article published online:
23 January 2025

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