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Sporadiska kolorektala polyper. Uppdaterade riktlinjer for endoskopikontroller

Björk, Jan; Börjesson, Lars; Hertervig, Erik LU ; Lindmark, Gudrun and Öst, Åke (2003) In Läkartidningen 100(34). p.2584-2584
Abstract
No surveillance is recommended after radical excision of low-risk adenomas (pedunculated adenoma irrespective of size, sessile adenoma < or = 10 mm, number < or = 2. An endoscopic check-up is recommended 3-6 months after radical excision of high-risk adenomas (sessile adenoma > 10 mm, number > or = 3), as well as after excision of a pedunculated or a sessile adenoma with an unclear resection margin. All above is irrespective of histopathological adenoma classification. An endoscopic check-up is recommended 3 months after radical excision of a highly or moderately differentiated malignant polyp with no sign of invasion into blood or lymph vessels and with a maximum invasion depth stage T1-sm1. Surgical resection is necessary if... (More)
No surveillance is recommended after radical excision of low-risk adenomas (pedunculated adenoma irrespective of size, sessile adenoma < or = 10 mm, number < or = 2. An endoscopic check-up is recommended 3-6 months after radical excision of high-risk adenomas (sessile adenoma > 10 mm, number > or = 3), as well as after excision of a pedunculated or a sessile adenoma with an unclear resection margin. All above is irrespective of histopathological adenoma classification. An endoscopic check-up is recommended 3 months after radical excision of a highly or moderately differentiated malignant polyp with no sign of invasion into blood or lymph vessels and with a maximum invasion depth stage T1-sm1. Surgical resection is necessary if the malignant polyp is poorly differentiated, and/or invades into blood or lymph vessels, and/or is stage T1-sm3, or is excised with unclear resection margins. Treatment for stage T1-sm2 polyps may be individualized. Individuals with low-risk adenomas and a first degree relative with colorectal cancer, individuals having high-risk adenomas or malignant polyps removed, as well as individuals operated on for colorectal cancer should be subjected to colonoscopy after three years and then every fifth year when < or = 75 years of age. (Less)
Please use this url to cite or link to this publication:
author
organization
alternative title
[Sporadic colorectal polyps. Updated guidelines for endoscopic surveillance]
publishing date
type
Contribution to journal
publication status
published
subject
in
Läkartidningen
volume
100
issue
34
pages
2584 - 2584
publisher
Swedish Medical Association
external identifiers
  • pmid:12968317
  • scopus:0346219092
ISSN
0023-7205
language
Swedish
LU publication?
yes
id
db79be52-14ae-43a0-9b0a-0651ca2103ef (old id 1126865)
alternative location
http://ltarkiv.lakartidningen.se/artNo27057
date added to LUP
2008-06-02 13:24:41
date last changed
2018-05-29 09:24:48
@article{db79be52-14ae-43a0-9b0a-0651ca2103ef,
  abstract     = {No surveillance is recommended after radical excision of low-risk adenomas (pedunculated adenoma irrespective of size, sessile adenoma &lt; or = 10 mm, number &lt; or = 2. An endoscopic check-up is recommended 3-6 months after radical excision of high-risk adenomas (sessile adenoma &gt; 10 mm, number &gt; or = 3), as well as after excision of a pedunculated or a sessile adenoma with an unclear resection margin. All above is irrespective of histopathological adenoma classification. An endoscopic check-up is recommended 3 months after radical excision of a highly or moderately differentiated malignant polyp with no sign of invasion into blood or lymph vessels and with a maximum invasion depth stage T1-sm1. Surgical resection is necessary if the malignant polyp is poorly differentiated, and/or invades into blood or lymph vessels, and/or is stage T1-sm3, or is excised with unclear resection margins. Treatment for stage T1-sm2 polyps may be individualized. Individuals with low-risk adenomas and a first degree relative with colorectal cancer, individuals having high-risk adenomas or malignant polyps removed, as well as individuals operated on for colorectal cancer should be subjected to colonoscopy after three years and then every fifth year when &lt; or = 75 years of age.},
  author       = {Björk, Jan and Börjesson, Lars and Hertervig, Erik and Lindmark, Gudrun and Öst, Åke},
  issn         = {0023-7205},
  language     = {swe},
  number       = {34},
  pages        = {2584--2584},
  publisher    = {Swedish Medical Association},
  series       = {Läkartidningen},
  title        = {Sporadiska kolorektala polyper. Uppdaterade riktlinjer for endoskopikontroller},
  volume       = {100},
  year         = {2003},
}