Practice parameters for early colon cancer management: Italian Society of Colorectal Surgery (Società Italiana di Chirurgia Colo-Rettale; SICCR) guidelines

Early colon cancer (ECC) has been defined as a carcinoma with invasion limited to the submucosa regardless of lymph node status and according to the Royal College of Pathologists as TNM stage T1 NX M0. As the potential risk of lymph node metastasis ranges from 6 to 17 % and the preoperative assessme...

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Bibliographic Details
Published in:Techniques in coloproctology 2015-10, Vol.19 (10), p.577-585
Main Authors: Bianco, F., Arezzo, A., Agresta, F., Coco, C., Faletti, R., Krivocapic, Z., Rotondano, G., Santoro, G. A., Vettoretto, N., De Franciscis, S., Belli, A., Romano, G. M.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Clinical Guidelines
Colonic Neoplasms - diagnosis
Colonic Neoplasms - pathology
Colonic Neoplasms - surgery
Colonic Polyps - surgery
Colorectal Surgery
Colorectal Surgery - standards
Disease Management
Early Detection of Cancer - methods
Endoscopy, Gastrointestinal - methods
Gastroenterology
Humans
Intestinal Mucosa - pathology
Intestinal Mucosa - surgery
Italy
Lymph Node Excision
Medicine
Medicine & Public Health
Neoplasm Staging
Proctology
Surgery
Tattooing
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Summary:Early colon cancer (ECC) has been defined as a carcinoma with invasion limited to the submucosa regardless of lymph node status and according to the Royal College of Pathologists as TNM stage T1 NX M0. As the potential risk of lymph node metastasis ranges from 6 to 17 % and the preoperative assessment of lymph node metastasis is not reliable, the management of ECC is still controversial, varying from endoscopic to radical resection. A meeting on recent advances on the management of colorectal polyps endorsed by the Italian Society of Colorectal Surgery (SICCR) took place in April 2014, in Genoa (Italy). Based on this material the SICCR decided to issue guidelines updating the evidence and to write a position statement paper in order to define the diagnostic and therapeutic strategy for ECC treatment in context of the Italian healthcare system.
ISSN:1123-6337
1128-045X
DOI:10.1007/s10151-015-1361-y