Polyp Resection - Controversial Practices and Unanswered Questions

Management of colorectal polyp cancers

INTRODUCTION Management of malignant colorectal polyps is controversial. The options are resection or surveillance. Resection margin status is accepted as an independent predictor of adverse outcome. However, the rate of adverse outcome in polyps with a resection margin of <1mm has not been investigated. METHODS A retrospective search of the pathology database was undertaken. All polyp cance...

Surgical issues in locally advanced rectal cancer treated by preoperative chemoradiotherapy

The standard treatment for patients with locally advanced rectal cancer is preoperative chemoradiotherapy followed by total mesorectal excision. This approach is supported by randomized trials, but there are still many unanswered questions about the multimodal management of rectal cancer. In surgical terms, these include the optimal time interval between completion of chemoradiotherapy and surg...

E-Learning: some unanswered questions

Inflammatory Septal Nasal Polyp

Introduction: Nasal polyps are benign prolapsed mucosal lesions which commonly arise from the paranasal sinuses and lateral walls of the nose especially the contact areas of osteomeatal complex. Though nasal polyps arising from the nasal septum have been reported, those arising from its anterior part are extremely rare and present a diagnostic dilemma.  Aetiology is multifactorial and is mainl...

Endoscopic full-thickness resection of a non-lifting large laterally spreading flat colonic polyp.

Resection of a non-lifting large laterally spreading flat colonic polyp can be challenging. A 44-year-old Hispanic woman with a history of hereditary non-polyposis colorectal cancer syndrome (HNPCC) was referred for removal of a laterally spreading polyp. Colonoscopy showed a 2-cm laterally spreading flat polyp in the proximal transverse colon (▶Video1; ▶Fig. 1a). Submucosal injection was perfo...