Pathological Analyses of Colorectal Cancer

  • Gregoire Arnoux
  • Giulio Cesare Vitali
  • Giacomo PuppaEmail author
Part of the Hot Topics in Acute Care Surgery and Trauma book series (HTACST)


About 15–30% of colorectal cancer present as obstruction or perforation in an emergency setting.

Several studies reported a more advanced stage as well as a more aggressive profile compared to the elective cases.

This review focuses on tumor pathology as a basis for different survival outcomes.

In particular the staging categories T, N, and M as well as the non-anatomic, morphological prognostic factors (tumor grade, lymphovascular invasion) and the TNM ancillary R (residual disease) are discussed.

Careful pathological examination is necessary to confirm the clinical presentation (advanced T category, obstruction, perforation) and to correctly assess nodal staging.


Colorectal cancer emergency pathology 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Gregoire Arnoux
    • 1
  • Giulio Cesare Vitali
    • 2
  • Giacomo Puppa
    • 1
    Email author
  1. 1.Service of PathologyGeneva University Hospital and Medical SchoolGenevaSwitzerland
  2. 2.Service of Abdominal Surgery and Liver TransplantationGeneva University Hospital and Medical SchoolGenevaSwitzerland

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