Pay emphasis to the diagnosis and treatment of flat tumors of colon / 解放军医学杂志

ABSTRACT

Flat colon lesions, which include superficial colon tumor and depressed colon tumor, have close relationship with colon cancers. The main type of flat colon tumor is laterally spreading tumor (LST) while the main type of depressed tumor is depressed early colon cancer (IIc type). Little has been reported about the flat colon tumor because it is difficult to be detected and has not yet been broadly recognized by clinicians. Recently, clinicians with the Nanfang Hospital have innovated some novel colonoscopic approaches to improve the diagnosis and treatment of flat colon tumor and accumalate experiences in this regard. Their conclusions are: 1. Improvement in recognizing the physical characteristics of the lesion and the application of chromoscopic colonoscopy are the key points to reveal and identify the flat colon tumors. 2. The best theraputic methods for flat colon lesions are endoscopic mucosal resection and piecemeal endoscopic mucosal resection.