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Early (microinvasive) colorectal carcinoma

Pathology, diagnosis, surgical treatment

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Abstract

The term early colorectal carcinoma is used for an infiltrating carcinoma with submucosal spread, but no involvement of the muscle coat (muscularis propria). Our experience with 249 such tumours is reported. Lymph node metastases were detected in only 3% of 130 patients subjected to classical surgery. Early colorectal carcinoma represents a cancer stage with an excellent prognosis (agecorrected 10-year survival rate 100%). The survival rates after limited therapeutic procedures (endoscopic polypectomy, local surgical excision, segmental/tubular resection) or after classical radical surgery do not differ significantly provided that certain selection criteria are strictly observed.

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References

  1. Burghardt E, Holzer E (1982) Minimal invasive cancer (microcarcinoma). Clin Oncol 1:313–645

    Google Scholar 

  2. Hermanek P (1982) Early stages of colorectal carcinoma: morphology, clinical aspects and prognosis. Clin Oncol 1:587–598

    Google Scholar 

  3. Grinnell RS, Lane N (1958) Benign and malignant adenomatous polyps and papillary adenomas of the colon and rectum. An analysis of 1856 tumours in 1335 patients. Surg Gynecol Obstet 106:519–538

    Google Scholar 

  4. Wolff WI, Shinya H (1975) Endoscopic polypectomy: therapeutic and clinicopathologic aspects. Cancer 36:683–690

    Google Scholar 

  5. Morson BC, Bussey HJR, Samoorian S (1977) Policy of local excision for early cancer of the colorectum. Gut 18:1045–1050

    Google Scholar 

  6. Bokelmann D (1978) Tiefsitzendes Rektum-Frühkarzinom: Exstirpationsverfahren. Langenbecks Arch Chir 347:613–617

    Google Scholar 

  7. Cooper HS (1983) Surgical pathology of endoscopically removed malignant polyps of the colon and rectum. Am J Surg Pathol 7:613–623

    Google Scholar 

  8. Morson BC, Whiteway JE, Jones EA, Macrae FA, Williams CB (1984) Histopathology and prognosis of malignant colorectal polyps treated by endoscopic polypectomy. Gut 25: 437–444

    Google Scholar 

  9. Haggitt RC, Glotzbach RE, Soffer EE, Wruble LD (1985) Prognostic factors in colorectal carcinomas arising in adenomas: implications for lesions removed by endoscopic polypectomy. Gastroenterology 89:328–336

    Google Scholar 

  10. Hermanek P (1983) Pathohistologische Begutachtung von Tumoren. Perimed, Erlangen

    Google Scholar 

  11. Morson BC, Sobin LH (1976) Histological typing of intestinal tumours. WHO, Geneva

    Google Scholar 

  12. Hermanek P, Karrer K (1983) Atlas of colorectal tumours. Butterworths, London

    Google Scholar 

  13. Nivatvongs S, Goldberg SM (1978) Management of patients who have polyps containing invasive carcinoma removed via colonoscope. Dis Colon Rect 21:8–11

    Google Scholar 

  14. Shatney CH, Lober PH, Gilbertsen VA, Sosin H (1974) The treatment of pedunculated adenomatous colorectal polyps with focal cancer. Surg Gynecol Obstet 139:845–850

    Google Scholar 

  15. Wolff WI, Shinya H (1975) Definitive treatment of “malignant” polyps of the colon. Ann Surg 182:516–525

    Google Scholar 

  16. Shatney CH, Lober PH, Silberston V, Sosin H (1976) Management of focally malignant pedunculated adenomatous colorectal polyps. Dis Colon Rect 19:334–341

    Google Scholar 

  17. Coutsoftides T, Sivak MV, Benjamin SP, Jagelman D (1978) Colonoscopy and the management of polyps containing invasive carcinoma. Ann Surg 188:638–641

    Google Scholar 

  18. Gillespie PE, Chambers TJ, Chan KW, Doronzo F, Morson BC, Williams CB (1979) Colonic adenomas — a colonoscopic survey. Gut 20:240–245

    Google Scholar 

  19. Riddell RH (1983) Premalignant and early invasive lesions of the colon. In: American Society of colon and rectal surgeons: Colorectal electives syllabus. Boston

  20. Conte ChC, Welch JP, Forouhar F, Bloom GP (1985) Management of endoscopically removed malignant colon polyps — 84th Anual Meeting of the American Society of Colon and Rectal Surgeries, San Diego. Abstracts, p. 10.6

  21. Dewey P, Seifart W (1985) Peranale Lokalbehandlung des Rektumfrühkarzinoms. Zentralbl Chir 110:137–141

    Google Scholar 

  22. Colacchio TA, Forde KA, Scantlebury VP (1981) Endoscopic polypectomy. Inadequate treatment for invasive colorectal carcinoma. Ann Surg 194:704–707

    Google Scholar 

  23. Copeland EM, Miller LD, Jones RS (1968) Prognostic factors in carcinoma of the colon and rectum. Am J Surg 116: 875–881

    Google Scholar 

  24. Kobayashi S, Kasugai T (1973) Polypoid lesions of the colon and rectum with special reference of early detection of polypoid cancer. Endoscopy 5:117–120

    Google Scholar 

  25. Lockhart-Mummery HE, Dukes CE (1952) The surgical treatment of malignant rectal polyps. Lancet 2:751–755

    Google Scholar 

  26. Montori A (1984) Colorectal polyps with invasive carcinoma — a surgical point of view. Colo-proctology 6:281

    Google Scholar 

  27. Morson BC (1966) Factors influencing the prognosis of early cancer of the rectum. Proc R Soc Med 59:607–608

    Google Scholar 

  28. Seib, H-J (1986) Kolonadenome mit invasivem, die L. submucosa infiltrierendem Adenokarzinom. Risiko von Lymphknotenmetastasen und Indikation zur sekundären Operation. Verh Dtsch Ges Pathol 69:683

    Google Scholar 

  29. Welch CE, McKittrick JB, Behringer G (1952) Polyps of the rectum and colon and their relation to cancer. N Engl J Med 247:959–965

    Google Scholar 

  30. Wingard BA, Coller JA, Schoetz DJ, Veidenheimer MC (1985) When is polypectomy enough? 84th Annual Meeting of the American Society of Colon and Rectal Surgeons, San Diego. Abstracts, p 105

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Hermanek, P., Gall, F.P. Early (microinvasive) colorectal carcinoma. Int J Colorect Dis 1, 79–84 (1986). https://doi.org/10.1007/BF01648411

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