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[Colorectal carcinoma--endoscopic diagnosis and therapy]
1Chirurgische Klinik, Universitätskrankenhaus Hamburg-Eppendorf.
Rontgen-Blatter; Zeitschrift Fur Rontgen-Technik Und Medizinisch-Wissenschaftliche Photographie
|May 1, 1988
Summary
Endoscopic procedures enable early diagnosis and treatment of colorectal cancers. Polypectomy offers complete therapy for some invasive adenomas, while advanced stages may require segmental resection or palliative endoscopic laser treatment.
Area of Science:
- Gastroenterology
- Oncology
- Surgical Endoscopy
Context:
- Colorectal cancer diagnosis and treatment involve various stages, from early adenomas to advanced carcinomas.
- Endoscopic interventions play a crucial role in both detection and management.
Purpose:
- To outline the endoscopic approach for diagnosing and treating early and advanced colorectal carcinomas.
- To detail therapeutic strategies including polypectomy, segmental resection, and palliative laser therapy.
Summary:
- Endoscopic diagnosis identifies early and advanced colorectal cancers.
- Polypectomy serves as complete therapy for adenomas with invasive carcinoma if margins are clear.
- Segmental resection is advised for invasive submucous lymphatic vessel invasion; palliative YAG laser therapy is available for inoperable tumors.
Impact:
- Highlights the efficacy of endoscopic techniques in managing colorectal malignancies.
- Provides guidance on selecting appropriate treatments based on cancer stage and invasion depth.
- Emphasizes the palliative role of endoscopy in advanced, inoperable cases.