000 01762cam a2200193 4500500
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041 _afre
042 _adc
100 1 0 _aChupin, Antoine
_eauthor
700 1 0 _aPerrod, Guillaume
_eauthor
700 1 0 _aBroudin, Chloé
_eauthor
700 1 0 _aRahmi, Gabriel
_eauthor
245 0 0 _aEndoscopic resection of superficial colorectal tumors: Are our histoprognostic criteria sufficient?
260 _c2022.
500 _a35
520 _aEn-bloc endoscopic resection is the standard treatment for superficial colorectal cancers because it provides oncological efficacy comparable to surgery with lower morbidity and mortality. This resection is said to be curative when the risk of lymph node invasion is negligible, i.e., when a certain number of histoprognostic criteria are met (free lateral and deep margins, absence of lympho-vascular emboli or tumor budding, good/moderate degree of differentiation, and depth of submucosal invasion < 1,000 μm). The absence of only one of these criteria should theoretically lead to additional surgery with lymph node dissection. The current problem is that the “weight” of each of its histoprognostic criteria is probably not equivalent in terms of the risk of lymph node invasion, and their improvement could in turn help improve certain decision-making aspects during our multidisciplinary meetings. In this article, we will discuss the “lymph node weight” of each of these criteria as well as the prospects for improving our histoprognostic criteria.
786 0 _nHépato-Gastro & Oncologie Digestive | 29 | 1 | 2022-01-01 | p. 24-32 | 2115-3310
856 4 1 _uhttps://stm.cairn.info/journal-hepato-gastro-oncologie-digestive-2022-1-page-24?lang=en&redirect-ssocas=7080
999 _c1921146
_d1921146