BACKGROUND: The role of endoscopy in the management of malignant-pedunculated @entity1127 has been well studied, but endoscopic management of @entity1127 has not. Sometimes @entity1 with @entity1127 have comorbidities that make surgery exceptionally risky, and endoscopy beckons as a definitive management option. The aim of this study is to evaluate the potential role of endoscopy in the management of @entity1127 . METHODS: @entity1 undergoing colonoscopic polypectomy for @entity1127 by a single endoscopist from 1997 to 2010 were evaluated. Demographic data, clinicopathological variables as well as long-term outcomes were recorded. RESULTS: Sixteen @entity1 had @entity1127 . Six (37.5  %) were male and 10 (62.5  %) were female. Mean age at diagnosis was 72.9      12.2  years. Six @entity1127 were proximal to the @entity4558 (37.5  %) and 10 (62.5  %) were distal. The mean size of the @entity1127 was 30.5      15.9  mm. All @entity1127 were removed endoscopically but 7 @entity1 (43.8  %) had formal colectomy following colonoscopic resection. There were no demographic differences between @entity1 with and without surgery. Piecemeal polypectomy was necessary in 8 @entity1 , 4 from the surgery group, and 4 from the endoscopy group. More @entity1 in the surgery group had poorly differentiated @entity5 (4/6 vs. 0/6) and incomplete margins (5/6 vs. 1/6) and more @entity1 in the endoscopically treated group had serious comorbidity (5/9 vs. 3/7). There was no procedure-related morbidity or mortality. After a mean follow-up of 48.4      27.2  months, one @entity1 from the polypectomy group @entity1 had a local recurrence and a liver @entity3 , after originally declining surgery. In the surgery group, one @entity1 had lung @entity3 . The two @entity1 who recurred with distant @entity3 died. CONCLUSION: Endoscopic management of sessile @entity1127 appears to be feasible and safe in @entity1 with well/moderately differentiated @entity5 and negative margins. Larger studies are needed to confirm these findings.

Management of sessile malignant XXXX : is colonoscopic polypectomy enough?

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity1127 :: ('MESH:D011127', 'Disease') :: ['colorectal polyps', 'polyps', 'malignant sessile polyps'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancers', 'cancer'] @entity4558 :: ('MESH:D013158', 'Disease') :: ['splenic flexure'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis']
@entity1127 :: (MESH:D011127,Disease) :: ['polyps']
