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Table 3 Characteristics of colonic lesions resected surgically

From: Overtreatment in nonmalignant lesions detected in a colorectal cancer screening program: a retrospective cohort study

 

Number (%)

Location (n = 158)

• Appendix

10 (6.3%)

• Cecum

28 (17.7%)

• Ascending colon

26 (16.5%)

• Hepatic flexure

14 (8.9%)

• Transverse colon

13 (8.2%)

• Splenic flexure

3 (1.9%)

• Descending colon

9 (5.7%)

• Sigmoid colon

20 (12.7%)

• Rectum

35 (22.2%)

Endoscopic resection attempt (n = 158)

• Surgery directly

109 (68.9%)

• In baseline colonoscopy

29 (18.4%)

• In therapeutic colonoscopy

20 (12.7%)

Type of endoscopic resection (n = 153)

• No resection

118 (74.7%)

• Incomplete resection

32 (20.3%)

• Piecemeal resection

6 (3.8%)

• En bloc resection

2 (1.3%)

Endoscopic size (mm) (n = 154)

35 (25–50)

Morphology (n = 155)

• Pedunculated

11 (7.0%)

• Sessile

70 (44.3%)

• Flat

17 (10.8%)

• Flat-depressed

6 (3.8%)

• Laterally spreading tumor

51 (32.3%)

Endoscopic histology (n = 158)

• Tubular adenoma with LGD

26 (16.4%)

• Villous adenoma with LGD

51 (32.2%)

• Adenoma with HGD

42 (26.5%)

• Adenoma with intramucosal carcinoma

6 (3.8%)

• Serrated lesion

7 (4.4%)

• Serrated lesion with HGD

1 (0.6%)

• Other histology

1 (0.6%)

• No biopsy

24 (15.2%)

SMSA classification (n = 150)

• 6–8

4 (2.7%)

• 9–12

31 (20.7%)

• > 12

115 (76.7%)

Surgical size (mm) (n = 136)

25 (20–40)

Surgical histology

(n = 158)

• No residual lesion

10 (6.3%)

• Tubular adenoma with LGD

19 (12.0%)

• Villous adenoma with LGD

45 (28.5%)

• Adenoma with HGD

53 (33.5%)

• Adenoma with intramucosal carcinoma

12 (7.8%)

• Serrated lesion

9 (5.7%)

• Serrated lesion with HGD

4 (2.5%)

• Other

6 (3.8%)

  1. HGD High grade dysplasia, LGD Low grade dysplasia, SMSA Size, Morphology, Site and Access