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The use of colonoscopy in the study of synchronous colorectal neoplasms
Author(s) -
Pagana Timothy J.,
Ledesma Eliuh J.,
Mittelman Arnold,
Nava Hector R.
Publication year - 1984
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19840115)53:2<356::aid-cncr2820530231>3.0.co;2-g
Subject(s) - medicine , colonoscopy , colorectal cancer , adenomatous polyps , gastroenterology , carcinoma , rectum , general surgery , cancer
Over a 5‐year period, 185 patients with a primary colorectal carcinoma were studied by colonoscopy for synchronous neoplasms. Twenty‐eight patients had incomplete examinations due to obstructing tumors, and 157 had total colonoscopy. Sixty patients (35.9%) had synchronous neoplasms, of which 43 (25.7%) were adenomatous polyps, 5 (3%) were villous polyps, and 12 (7.2%) were carcinomas. The planned surgical procedure was altered on 7 of 12 synchronous cancers (58.3%), 10 of 38 adenomatous polyps, and 17 of 157 (10.8%) patients who underwent total colonoscopy. Preoperative colonoscopy is deemed essential for the optimal management of the patient with colorectal carcinoma.

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