Approaches and considerations in the endoscopic treatment of T1 colorectal cancer
- Abstract
- The detection of early colorectal cancer (CRC) is increasing through the implementation of screening programs. This increased detection enhances the likelihood of minimally invasive surgery and significantly lowers the risk of recurrence, thereby improving patient survival and reducing mortality rates. T1 CRC, the earliest stage, is treated endoscopically in cases with a low risk of lymph node metastasis (LNM). The advantages of endoscopic treatment compared with surgery include minimal invasiveness and limited tissue disruption, which reduce morbidity and mortality, preserve bowel function to avoid colectomy, accelerate recovery, and improve cost-effectiveness. However, T1 CRC has a risk of LNM. Thus, selection of the appropriate treatment between endoscopic treatment and surgery, while avoiding overtreatment, is challenging considering the potential for complete resection, LNM, and recurrence risk.
- All Author(s)
- Yunho Jung
- Issued Date
- 2024
- Type
- Article
- Keyword
- Colonic neoplasms; Colorectal surgery; Endoscopic mucosal resection; Lymphatic metastasis
- Publisher
- 대한내과학회
Korean Association of Internal Medicine
- ISSN
- 1226-3303
; 2005-6648
- Citation Title
- The Korean journal of internal medicine
- Language(ISO)
- eng
- DOI
- 10.3904/kjim.2023.487
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/3488
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