Management of Malignant Polyps
6 results
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Malignancy- A 22-year-old female patient presents to your office with rectal bleeding and family history of colon cancer in her sister who was diagnosed at age 28 years. Esophagogastroduodenoscopy demonstrates three gastric and duodenal adenomas. Colonoscopy demonstrates hundreds of polyps throughout her colon. Pathology demonstrates tubular adenomas. You perform a flexible sigmoidoscopy that confirms nine polyps in her rectum; the polyps range from 4 mm to 9 mm in size. She is interested in having children in the near future. What is the recommended next step in her management?
- A 51-year-old postmenopausal woman with Lynch syndrome is diagnosed with right colon cancer. Subsequent work-up includes computed tomography (CT) of the chest abdomen and pelvis without evidence of metastatic disease. The recommended surgical management at this point is
- A healthy 51-year-old man has a poorly differentiated right colon adencarcinoma with mucinous features and mismatch repair (MMR) deficient protein expression. After germline testing was performed, a diagnosis of Lynch syndrome made. The patient reports no issues with incontinence to gas or stool. What is the recommended surgery in this patient?
- A 69-year-old male patient is found to have a 1-cm tubulovillous adenoma in the sigmoid colon, with a 1-mm focus of invasive carcinoma, Haggitt level 3 with a 2-mm margin, and no adverse pathologic features. The best next step in the management of this patient is
- Benign Disease
- Colon and Rectal Surgery Educational Program (CARSEP)