Colon Polyp Surveillance – Separating the Wheat from the Chaff

One goal of colorectal cancer (CRC) screening is to prevent CRC incidence by removing precancerous colonic polyps, which are detected in up to 50% of screening exams. Yet, the lifetime risk of CRC is 3.9-4.3%, so it is clear that most of these individuals with polyps would not develop CRC in their lifetime. It is therefore a challenge to determine which individuals with polyps will benefit from follow up, and at what intervals. There is some evidence that individuals with advanced polyps, based on size and histology, benefit from intensive surveillance.

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Gennaio 2024