Management of Malignant Polyps

Dennis Yang, Mark H. Whiteford

Key Concepts

  • Detailed polyp assessment is the first crucial step in determining the best therapeutic strategy.
  • Endoscopic resection of low-risk T1 colorectal cancer is an effective treatment in select patients.
  • En-bloc resection is crucial for adequate histopathologic assessment for curative intent.
  • Transanal endoscopic surgery is another technique that permits full-thickness en-bloc resection for select malignant polyps or early cancers in the rectum.
  • All polyps with predictors of deep submucosal invasion should be referred for surgery given the high risk for lymph node metastasis.

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Last updated: January 26, 2022