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- W1566853970 abstract "Purpose. This study was designed to evaluate the outcomes of patients treated for malignant colorectal polyps by polypectomy or colectomy. Materials and Methods. From January 2000 to December 2008, we followed the survival outcomes of 67 patients (37 men and 30 women) who had received either polypectomies or colectomies to treat malignant colorectal pedunculated or sessile polyps. Results. Twenty-nine of the 67 patients had pedunculated polyps, all of which were removed colonoscopically. Thirteen of these 29 patients received subsequent colectomies. Thirty-eight patients had sessile polyps, all of which were removed colonoscopically. Seventeen of the 38 patients had subsequent colectomies.We followed these patients from 2 years to 5 years (median 3 years). Patients in the colectomy and the polypectomy groups had 100 percent two-year survival rates. However, as time passed, of these patients who had received colectomies, one with pedunculated lesion (3.3%) was diagnosed with carcinomatosis four years from initial colonoscopy. Among those who had received polypectomies only, three (8.1%) were found to have distant metastasis: two with sessile lesions were found to have liver metastasis two years later and one with pedunculated lesion found to have lung metastasis died three years later. Conclusion. Based on our experience, patients who received operative management had better long-term results than those managed by polypectomy alone because of the lower distant metastasis rate (3.3%) and the decreased possibility of lymph node metastasis in malignant sessile lesions." @default.
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- W1566853970 date "2012-03-01" @default.
- W1566853970 modified "2023-09-28" @default.
- W1566853970 title "Clinical Outcomes of Polypectomy and Colectomy: Management of Malignant Colorectal Polyps" @default.
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- W1566853970 doi "https://doi.org/10.6312/scrstw.2012.23(1).10016" @default.
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