Yield of high-grade dysplasia based on polyp size detected at colonoscopy: A series of 2295 examinations following a positive fecal occult blood test in a population-based study

Diseases of the Colon and Rectum

Volumn 53, Issue 3, 2010, Pages 339-345

  Bretagne, Jean Francois ^a,b   Manfredi, Sylvain ^a,b   Piette, Christine ^b   Hamonic, Stephanie ^a   Durand, Gerard ^b   Riou, Françoise ^a  

^a RENNES UNIVERSITY HOSPITAL   (France)

^b ADECI 35 Association pour le Dépistage des Cancers en Ille et Vilaine   (France)

Author keywords

Colonoscopy; Colorectal cancer; High grade dysplasia, CT colonography; Small adenomas

Indexed keywords

ADENOMATOUS POLYP; ADULT; ARTICLE; CANCER SCREENING; COLON POLYP; COLONOSCOPY; COLORECTAL CANCER; COMPUTED TOMOGRAPHIC COLONOGRAPHY; DISEASE CLASSIFICATION; DYSPLASIA; FEMALE; HISTOPATHOLOGY; HUMAN; MAJOR CLINICAL STUDY; MALE; OCCULT BLOOD; TUMOR VOLUME; VILLOUS ADENOMA; ADENOMA; AGED; CHI SQUARE DISTRIBUTION; FRANCE; HYPERPLASIA; MIDDLE AGED; PATHOLOGY; PREVALENCE; RADIOGRAPHY; RISK FACTOR; STATISTICAL MODEL;

ADENOMA; AGED; CHI-SQUARE DISTRIBUTION; COLONIC POLYPS; COLONOGRAPHY, COMPUTED TOMOGRAPHIC; COLONOSCOPY; FEMALE; FRANCE; HUMANS; HYPERPLASIA; LOGISTIC MODELS; MALE; MIDDLE AGED; OCCULT BLOOD; PREVALENCE; RISK FACTORS;

EID: 77949893283     PISSN: 00123706     EISSN: 15300358     Source Type: Journal    
DOI: 10.1007/DCR.0b013e3181c37f9c     Document Type: Article

References (23)

1. American College of Radiology. ACR practice guideline for the performance of CT colonography in adults. In: ACR Practice Guidelines and Technical Standards 2005-2006. Reston, VA: American College of Radiology; 2006:295-299.
2. Van Dam J, Cotton P, Johnson D, et al. AGA future trends report: CT colonography. Gastroenterology. 2004;127:970-984. (Pubitemid 39208428)
3. Muto T, Bussey HJ, Morson BC. The evolution of cancer of the colon and rectum. Cancer. 1975;36:2251-2270.
4. Brenner H, Hoffmeister M, Stegmaier C, et al. Risk of progression of advanced adenomas to colorectal cancer by age and sex: estimates based on 840 149 screening colonoscopies. Gut. 2007;56:1585-1589. (Pubitemid 350033198)
5. Pickhardt PJ, Hassan C, Laghi A, et al. Small and diminutive polyps detected at screening CT colonography: a decision analysis for referral to colonoscopy. AJR Am J Roentgenol. 2008;190:136-144.
6. O'Brien MJ, Winawer SJ, Zauber AG, et al. The National Polyp Study. Patient and polyp characteristics associated with highgrade dysplasia in colorectal adenomas. Gastroenterology. 1990;98:371-379.
7. Aldridge AJ, Simson JN. Histological assessment of colorectal adenomas by size. Are polyps less than 10 mm in size clinically important? Eur J Surg. 2001;167:777-781.
8. Shinya H, Wolff WI. Morphology, anatomic distribution and cancer potential of colonic polyps. An analysis of 7, 000 polyps endoscopically removed. Ann Surg. 1979;190:679-683. (Pubitemid 10214457)
9. Gschwantler M, Kriwanek S, Langner E, et al. High-grade dysplasia and invasive carcinoma in colorectal adenomas: a multivariate analysis of the impact of adenoma and patient characteristics. Eur J Gastroenterol Hepatol. 2002;14:183-188. (Pubitemid 34163998)
10. Church JM. Clinical significance of small colorectal polyps. Dis Colon Rectum. 2004;47:481-485.
11. Butterly LF, Chase MP, Pohl H, Fiarman GS. Prevalence of clinically important histology in small adenomas. Clin Gastroenterol Hepatol. 2006;4:343-348. (Pubitemid 43343891)
12. Yoo TW, Park DI, Kim YH, et al. Clinical significance of small colorectal adenoma less than 10 mm: the Kasid study. Hepato-Gastroenterology. 2007;54:418-421.
13. Manfredi S, Piette C, Durand G, et al. Colonoscopy results of a French regional FOBT-based colorectal cancer screening program with high compliance. Endoscopy. 2008;40:422-427. (Pubitemid 351696381)
14. Hamilton SR, Aalfonen LA. Pathology and genetics of tumours of the digestive system. WHO Classification of Tumours. Lyon: IARC Press; 2000.
15. Dixon MF. Gastrointestinal epithelial neoplasia: Vienna revisited. Gut. 2002;51:130-131.
16. Lieberman D, Moravec M, Holub J, et al. Polyp size and advanced histology in patients undergoing colonoscopy screening: implications for CT colonography. Gastroenterology. 2008;135:1100-5.
17. Lieberman DA, Holub J, Eisen G, et al. Prevalence of polyps greater than 9 mm in a consortium of diverse clinical practice settings in the United States. Clin Gastroenterol Hepatol. 2005;3:798-805. (Pubitemid 41116733)
18. Ransohoff DF, Lang CA. Small adenomas detected during fecal occult blood test screening for colorectal cancer. The impact of serendipity. JAMA. 1990;264:76-78. (Pubitemid 20209175)
19. Terry MB, Neugut AI, Bostick RM, et al. Reliability in the classification of advanced colorectal adenomas. Cancer Epidemiol Biomarkers Prev. 2002;11:660-663.
20. Costantini M, Scillero S, Giannini A, et al. Interobserver agreement in the histologic diagnosis of colorectal polyps. The experience of the multicenter adenoma colorectal study (SMAC). J Clin Epidemiol. 2003;56:209-214. (Pubitemid 36519150)
21. Appelman HD. High-grade dysplasia and villous featuresshould not be partof the routine diagnosis of colorectal adenomas. Am J Gastroenterol. 2008;103:1329-1331.
22. Schoen RE, Gerber LD, Margulies C. The pathologic measurement of polyp size is preferable to the endoscopic estimate. Gastrointest Endosc. 1997;46:492-496. (Pubitemid 28018542)
23. Gopalswamy N, Shenoy VN, Choudhry U, et al. Is in vivo measurement of size of polyps during colonoscopy accurate? Gastrointest Endosc. 1997;46:497-502. (Pubitemid 28018543)