[COLORECTAL MALIGNANT POLYP: RESULTS OF TREATMENT AND FOLLOW-UP]

We present the results of the treatment and five year or more follow-up of patients with malignant polyp removed by colonoscopic polypectomy. They were 17 male and 9 female, between 25-85 years old, mean 60.4 years. 29 malignant polyps removed had well differentiated or moderated well differentiated adenocarcinoma; 10 patients had 36 synchronous lesions, 77% of them were adenomas. 22 patients had only polypectomy, and 4 polypectomy and colon resection, whose surgical specimen was tumor free in the site of polypectomy, without metastatic nodes. During the follow-up, two patients died of other causes than malignant polyp; one did not return; and 23 remain free of tumor. Colonoscopic polypectomy can be an excellent treatment for malignant colorectal polyp if the risk factors -endoscopic, pathological of the invasive carcinoma and the general clinical conditions of patients- are strictly applied.