Fast Five Quiz: Colorectal Cancer Practice Essentials

Elwyn C. Cabebe, MD


June 17, 2022

According to ASCO guidelines, for patients with premalignant polyps or other abnormal screening results, colonoscopy should always be performed with therapeutic intent. With pedunculated or nonpedunculated polyps, mucosal tattooing should be performed if the lesion cannot be removed or if a large lesion has a high likelihood of being malignant. For patients with nonpedunculated polyps that are completely removed, clinicians may perform tattooing for surveillance purposes. All lesions should be retrieved for histologic examination. Negative borders of resection should be confirmed. Only patients with lesions that cannot be removed endoscopically should be referred for surgical consult.

Learn more about approach considerations in colon cancer workup.


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