Predictable Factors of Early Colorectal Cancer after Colonoscopic Polypectomy
Intestinal Research
;
: 169-177, 2013.
Artigo
em Coreano
| WPRIM
| ID: wpr-58779
ABSTRACT
BACKGROUND/AIMS:
Colorectal cancer is the third most common cancer and the fourth leading cause of cancer death in Korea. Colonoscopic screening with removal of adenomas is an effective strategy for reducing the incidence and mortality of colorectal cancer. This study was conducted to investigate predictable factors of early colorectal cancer (ECC) in patients with advanced adenoma (AA), tumor in situ (Tis), and submucosal (SM) cancer diagnosed after colonoscopic polypectomy.METHODS:
Between August 2003 and June 2012, a total of 1,001 patients who underwent colonoscopic polypectomy in Jeju National University Hospital were enrolled in this study.RESULTS:
Patients were classified into four groups; non-AA, AA, Tis, and SM cancer. Compared to the AA group, the ECC group (n=50) had large adenoma size (12.2+/-5.9 mm vs. 15.3+/-6.5 mm, P15 mm (odds ratio [OR], 4.49; 95% confidence interval [CI] 2.40-8.38), distal location (OR, 2.59; 95% CI, 1.33-5.05), and diabetes mellitus (OR, 2.10; 95% CI, 1.07-4.43) were significantly associated with ECC. Of the 12 patients with SM cancer, 5 underwent additional operations and had no remnant carcinoma.CONCLUSIONS:
Predictable factors of ECC after colonoscopic polypectomy may be adenoma size >15 mm, distal location and diabetes mellitus.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pólipos
/
Neoplasias Colorretais
/
Adenoma
/
Índice de Massa Corporal
/
Programas de Rastreamento
/
Incidência
/
Análise Multivariada
/
Colonoscopia
/
Diabetes Mellitus
/
Coreia (Geográfico)
Tipo de estudo:
Estudo de incidência
/
Estudo prognóstico
/
Estudo de rastreamento
Limite:
Humanos
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Intestinal Research
Ano de publicação:
2013
Tipo de documento:
Artigo
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