Abstract
Clearly, colorectal cancer lesions do not suddenly appear at a size of 10–20 mm in diameter. Instead, they arise from minute cancers (≤5 mm) that grow into small cancers (>5 to 10 mm). Clinically, the probability of detecting a minute cancer is low (1). Small lesions such as adenomas and hyperplastic polyps account for an overwhelmingly large proportion of those detected by endoscopy (2). Hence, it is difficult to find such cancers with ordinary observation.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
O’Brien MJ, Winawer SJ, Zauber AG, et al (1990) The national polyp study: patient and polyp characteristics associated with high grade dysplasia in colorectal adenomas. Gastroenterology 98:371–379
Vatn MH, Stalsberg H (1982) The prevalence of polyps of the large intestine in Oslo; an autopsy study. Cancer 8249:819–825.
Axelrad AM, Fleischer DE, Geller AJ, et al (1996) High-resolution chromoendoscopy for the diagnosis of diminutive colon polyps; implications for colon cancer screening. Gastroenterology 110:1253–1258
Muto T, Kamiya J, Sawada T, et al (1985) Small “flat adenoma” of the large bowel with special reference to its clinicopathologic features. Dig Colon Rectum 28:847–851
Kudo S, Tamura S, Hirota S, et al (1995) The problem of de novo colorectal carcinoma. Eur J Cancer 31:1118–1120
Minamoto T, Sawaguchi K, Ohta T, et al (1994) Superficial-type adenoma and adenocarcinomas of the colon and rectum; a comparative morphological study. Gastroenterology 106:1436–1443
Nakajima T, Saito Y, Matsuda T, et al (2007) Minute depressed-type submucosal invasive cancer 5 mm in diameter with intermediate lymph-node metastasis: report of a case. Dis Colon Rectum 50:677–681
Winawer SJ, Fletcher RH, Miller L, et al (1997) Colorectal cancer screening: clinical guidelines and rationale. Gastroenterology 112:594–642
Kudo S, Hirota S, Nakajima T, et al (1994) Colorectal tumors and pit pattern. J Clin Pathol 47:880–885
Sano Y, Horimatsu T, Ki FU, et al (2006) Magnifying observation of microvascular architecture of colorectal lesion using a narrow band imaging system. Dig Endosc 18:s44–s51
Tsuda S, Kikuchi Y (1999) Diagnostic ability of conventional endoscopy in colorectal neoplasms. Stomach Intestine 34:1623–1633
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer
About this chapter
Cite this chapter
Igarashi, M. (2009). Endoscopic Diagnosis of Small and Minute Colorectal Cancers. In: Fujita, R., Takahashi, H. (eds) Gastrointestinal Cancer Atlas for Endoscopic Therapy. Springer, Tokyo. https://doi.org/10.1007/978-4-431-88166-7_9
Download citation
DOI: https://doi.org/10.1007/978-4-431-88166-7_9
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-88164-3
Online ISBN: 978-4-431-88166-7
eBook Packages: MedicineMedicine (R0)